Mehmood Rao Khalid, Mushtaq Abid, Andrew David R, Miller George Allan
Lincoln County Hospital, 1/2 Rowan House, St. Anne's Close, Lincoln, Ireland.
J Pak Med Assoc. 2007 Dec;57(12):616-8.
Primary aortoenteric fistula is a rare but potentially fatal cause of gastrointestinal bleeding. The diagnosis of primary aortoeteric fistula is difficult to make and is usually accompanied by a very high level of clinical suspicion. In the context of a known abdominal aortic aneurysm it is reasonable to have a high index of clinical suspicion ofaortoenteric fistula. It should be included in the differential diagnosis with low back pain and a palpable midline abdominal mass in a haemodynamically stable patient. We present a case of a 59 year old man with no past history of abdominal aortic aneurysm presented with lower back and periumblical pain. Initial misdiagnosis led to a delay in treatment and the patient succumbed to the illness.
原发性主动脉肠瘘是一种罕见但可能致命的胃肠道出血原因。原发性主动脉肠瘘的诊断很难做出，通常需要高度的临床怀疑。在已知腹主动脉瘤的情况下，对主动脉肠瘘保持高度的临床怀疑是合理的。对于血流动力学稳定的患者，伴有下背痛和可触及的腹部中线肿块时，应将其纳入鉴别诊断。我们报告一例59岁男性患者，既往无腹主动脉瘤病史，出现下背部和脐周疼痛。最初的误诊导致治疗延误，患者最终因病死亡。
