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[Conservative treatment of an aortoduodenal fistula after paraaortic lymphadenectomy in hepatobiliary malignancy surgery with aortic endoprosthesis].

作者信息

Fuks D, Humbert-Claude C, Deguines J-B, Sabbagh C, Browet F, Hajji H, Blampain S, Reix B, Chatelain D, Reix T, Régimbeau J-M

机构信息

Service de chirurgie digestive, fédération médicochirurgicale de pathologies digestives, CHU Nord-Amiens, place Victor-Pauchet, Amiens cedex 1, France.

出版信息

J Mal Vasc. 2010 Jun;35(3):179-84. doi: 10.1016/j.jmv.2009.12.031. Epub 2010 Jan 25.

DOI:10.1016/j.jmv.2009.12.031
PMID:20097496
Abstract

Lower gastrointestinal bleeding from a primary aortoduodenal fistula is unusual and usually fatal. Postoperative aortoduodenal fistula after biliary surgery is a very rare complication. We report hence a 69-year-old female patient who underwent a main bile duct resection with extended paraaortic lymphadenectomy for a cholangiocarcinoma. Acute melena with hemoglobin drop occurred on postoperative day 24. Initial CT-scan showed an aortic pseudoaneurysm with aortoduodenal fistula. An aortic endoprosthesis with endoscopic drainage of periaortic collections allowed successful treatment.

摘要

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