Kilk K, Hyhlik-Dürr A, Afshar-Oromieh A, Böckler D
Klinik für Gefässchirurgie, Ruprecht-Karls-Universität Heidelberg, Heidelberg.
Chirurg. 2010 Jul;81(7):653-6. doi: 10.1007/s00104-010-1886-6.
A 67-year-old male patient presented with recurrent fever and septic emboli due to an aorto-duodenal fistula after previous aortobiiliac bypass grafting with suspected graft infection. Imaging by ultrasound, computed tomography scan (CT) and magnetic resonance imaging (MRI) could not confirm graft infection. A scan using 2-deoxy-2-fluoro-[18F]-d-glucose positron emission tomography CT (18F-FDG-PET/CT) revealed a pathological uptake. The bifurcated graft was removed und revascularization was performed by axillobifemoral bypass grafting. The clinical role of CT scanning with 18F-FDG-PET/CT is discussed including a review of the recent literature.
一名67岁男性患者，既往行主动脉-双髂动脉搭桥移植术后出现疑似移植感染，因主动脉-十二指肠瘘导致反复发热和脓毒性栓子。超声、计算机断层扫描（CT）和磁共振成像（MRI）检查均无法证实移植感染。使用2-脱氧-2-氟-[18F]-D-葡萄糖正电子发射断层扫描CT（18F-FDG-PET/CT）检查发现有病理摄取。切除分叉移植物，并通过腋-双股动脉搭桥移植术进行血管重建。本文讨论了CT扫描联合18F-FDG-PET/CT的临床作用，并对近期文献进行了综述。
