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非炎性腹主动脉瘤继发主动脉十二指肠综合征导致的上消化道梗阻

Upper gastrointestinal obstruction secondary to aortoduodenal syndrome owing to a noninflammatory abdominal aortic aneurysm.

作者信息

Cahill Kevin, Roche-Nagle Graham, MacEneaney Peter, McGreal Gerald

机构信息

Department of Vascular Surgery, Mercy University Hospital, Cork, Ireland.

出版信息

Vascular. 2009 May-Jun;17(3):168-71. doi: 10.2310/6670.2008.00068.

DOI:10.2310/6670.2008.00068
PMID:19476751
Abstract

Aortoduodenal syndrome is a rare complication of an abdominal aortic aneurysm wherein the aneurysm sac obstructs the patient's duodenum. It presents with the symptoms of an upper gastrointestinal tract obstruction and requires surgical intervention to relieve it. Previously, gastric bypass surgery was advocated, but now aortic replacement is the mainstay of treatment. We report a case of a 67-year-old woman whose aortoduodenal syndrome was successfully managed and review the literature on this topic.

摘要

主动脉十二指肠综合征是腹主动脉瘤的一种罕见并发症，其中动脉瘤囊压迫患者的十二指肠。它表现为上消化道梗阻的症状，需要手术干预来缓解。以前提倡进行胃旁路手术，但现在主动脉置换是主要的治疗方法。我们报告了一例67岁女性患者，其主动脉十二指肠综合征得到了成功治疗，并回顾了关于该主题的文献。

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引用本文的文献

1
Duodenal obstruction associated with an abdominal aortic aneurysm.十二指肠梗阻与腹主动脉瘤相关。
J Vasc Surg Cases Innov Tech. 2016 Aug 25;2(3):134-136. doi: 10.1016/j.jvscit.2016.05.008. eCollection 2016 Sep.
2
Aortoduodenal syndrome in a patient receiving maintenance haemodialysis.一名接受维持性血液透析患者的主动脉十二指肠综合征
BMJ Case Rep. 2014 Nov 11;2014:bcr2014206326. doi: 10.1136/bcr-2014-206326.