Acosta A, Karatanasopuloz Pintos R, Haydar C, Levy G, Martín C, Paiz M
Servicio de Terapia Intensiva, Hospital José Ramón Vidal, Corrientes, Argentina.
Med Intensiva. 2006 Apr;30(3):120-2. doi: 10.1016/s0210-5691(06)74486-2.
The purpose of this presentation is to report three adult patients with aortoenteric fistula whose initial presentation was abdominal pain and digestive bleeding. We stress the low incidence of this disease as a cause of digestive bleeding, its high mortality and the need of high clinical suspicion for its diagnosis. We discuss the different sites of the aortoenteric fistulas, probable physiopathological mechanisms that generate them and their elevated association with the presence of vascular prostheses.
本报告的目的是汇报三例首发症状为腹痛和消化道出血的成人主动脉肠瘘患者。我们强调该病作为消化道出血病因的低发病率、高死亡率以及诊断时高度临床怀疑的必要性。我们讨论了主动脉肠瘘的不同部位、产生它们的可能病理生理机制以及它们与血管假体存在的高度相关性。
