[髂输尿管瘘：髂部念珠菌感染性假性动脉瘤的一种危及生命的并发症。病例报告]
[Ilio-ureteral fistula: a life-threatening complication of an iliac Candida-infected pseudoaneurysm. A case report].
作者信息
Monchal T, Hornez E, Ottomani S, Laroche J, Bourgouin S, Meyrat L, Fournier R, Meusnier F, Thouard H
机构信息
Service de chirurgie viscérale et vasculaire, université de la Méditerranée, hôpital d'instruction des armées-Sainte-Anne, BP 600, 83800 Toulon-Armées, Marseille, France.
出版信息
J Mal Vasc. 2008 May;33(2):101-5. doi: 10.1016/j.jmv.2008.02.006. Epub 2008 May 5.
Arterio-ureteral fistula is a rare condition difficult to diagnose. The usual presentation associates acute paroxysmal hematuria with well-identified history and risk factors. We report the case of an 84-year-old man with a life-threatening complication of an ilio-ureteral fistula complicating an anastomotic iliac pseudoaneurysm after prothetic iliofemoral surgery, due to a fungic infection by Candida. After reporting the clinical case and the emergency surgical treatment, we present a review of the literature.
动脉-输尿管瘘是一种罕见且难以诊断的病症。其常见表现为急性阵发性血尿，并伴有明确的病史和风险因素。我们报告一例84岁男性患者，其在人工髂股手术后发生髂-输尿管瘘，并发吻合口髂假性动脉瘤，因念珠菌真菌感染而出现危及生命的并发症。在报告该临床病例及紧急手术治疗情况后，我们对相关文献进行了综述。
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