复发性主动脉肠瘘：病例报告与文献复习

Recurrent aortoenteric fistula: case report and review.

作者信息

Goshtasby Parviz, Henriksen Daniel, Lynd Clifford, Fielding L Peter

机构信息

Department of Surgery, Wellspan Health at York Hospital, 1001 South George Street, York, PA 17405, USA.

出版信息

Curr Surg. 2005 Nov-Dec;62(6):638-43. doi: 10.1016/j.cursur.2005.03.022.

DOI:10.1016/j.cursur.2005.03.022

PMID:16293501

Abstract

Aortoenteric fistulas (AEFs) are abnormal communications between the aorta and the bowel most frequently resulting from prosthetic graft erosion. Despite advances in surgery and medical technology, these entities are still associated with significant morbidity and mortality for the patient. Multiple case reports and reviews have attempted to elucidate the nature of AEFs in an effort to better characterize and manage these entities. However, reports of recurrence of this process are extremely rare. In this article, we describe a unique case of recurrence of an AEF that was successfully managed with primary aortic oversew and bowel resection. We will also review the literature on AEFs with a comprehensive overview on background, presentation, diagnosis, and current management options.

摘要

主动脉肠瘘（AEF）是主动脉与肠道之间的异常通道，最常见的原因是人工血管侵蚀。尽管手术和医疗技术有所进步，但这些疾病仍会给患者带来严重的发病率和死亡率。多个病例报告和综述试图阐明AEF的本质，以便更好地对这些疾病进行特征描述和管理。然而，关于这个过程复发的报告极为罕见。在本文中，我们描述了一例独特的AEF复发病例，该病例通过主动脉一期缝合和肠切除成功治疗。我们还将回顾有关AEF的文献，全面概述其背景、临床表现、诊断和当前的管理选择。