年轻女孩腹腔镜阑尾切除术后 5 年出现心力衰竭。髂-髂动静脉瘘病例报告。
Young girl presenting with heart failure 5 years after laparoscopic appendectomy. Case report of an ilio-iliac AV fistula.
机构信息
Clinic for Vascular Surgery, Klinikum rechts der Isar, Technische Universität München, Ismaninger Strasse 22, 81675 Munich, Germany.
出版信息
Eur J Vasc Endovasc Surg. 2010 Jul;40(1):107-9. doi: 10.1016/j.ejvs.2010.02.013. Epub 2010 Mar 26.
INTRODUCTION
Secondary arteriovenous (AV) fistulae following appendectomy are very rare.
REPORT
We report the case of a 15-year-old girl suffering from progressive heart failure and sub-acute abdominal pain caused by an ilio-iliac AV fistula 5 years after a complicated appendectomy. The vessel-wall defects were closed by open surgery and the aneurysmatic iliac vein was gathered.
DISCUSSION
Open fistula repair should be recommended to healthy and/or young patients, especially when they are not fully-grown. Endovascular treatment should be the therapy of choice in high-risk patients or patients with local contraindications against open surgery.
介绍
阑尾切除术后的继发性动静脉（AV）瘘非常罕见。
病例报告
我们报告了一例 15 岁女孩的病例，该女孩在阑尾切除术后 5 年因髂-髂 AV 瘘导致进行性心力衰竭和亚急性腹痛。通过开放性手术闭合血管壁缺陷，并收集动脉瘤样髂静脉。
讨论
对于健康和/或年轻患者，特别是尚未完全发育的患者，应推荐进行开放性瘘管修复。对于高危患者或存在局部手术禁忌证的患者，腔内治疗应是首选治疗方法。
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