Northern Vascular Centre, Freeman Hospital, Freeman Road, High Heaton, Newcastle-upon-Tyne NE7 7DN, United Kingdom.
Eur J Vasc Endovasc Surg. 2010 Feb;39(2):217-9. doi: 10.1016/j.ejvs.2009.11.006. Epub 2009 Nov 25.
Aortoenteric fistulae are infrequent causes of gastrointestinal bleeding and usually occur as a late complication of aortic aneurysm repair. Primary aortoenteric fistulae are very rare and most have an aetiological association with atherosclerotic aneurysmal disease.(1,2) We report a primary aortoenteric fistula (PAEF) occurring in a 3 year old as a result of duodenal perforation after ingestion of a twig. To our knowledge this is the first case of a primary aortoenteric fistula reported in a child. Emergency aortic surgery in children needs certain considerations which are briefly discussed.
主动脉肠瘘是胃肠道出血的罕见病因，通常是主动脉瘤修复的晚期并发症。原发性主动脉肠瘘非常罕见，大多数与动脉粥样硬化性动脉瘤疾病有关。(1,2)我们报告了一例 3 岁儿童因吞食小树枝导致十二指肠穿孔而发生的原发性主动脉肠瘘（PAEF）。据我们所知，这是首例儿童原发性主动脉肠瘘病例。儿童的紧急主动脉手术需要考虑一些特定因素，这些因素将在本文中简要讨论。
