Ben Fredj Ismail F, Hadj Khelifa S, Toumi Ghannouchi S, Mrad B, Mhiri H H, Mazhoud J, Ben Ali A, Cheouech A, Laouani Kechrid C
Service de médecine interne, hôpital Sahloul, route de ceinture, Sousse, Tunisia.
Rev Med Interne. 2011 Jan;32(1):e9-11. doi: 10.1016/j.revmed.2009.12.016. Epub 2010 Sep 29.
Aortic aneurysms and stenosis occurring in Takayasu arteritis may require aortic prosthesis that can be complicated by aorto-digestive fistula. We report a 41-year-old female who presented with an isolated abdominal pain revealing a para-prosthetic aorto-duodenal fistula complicating a Takayasu arteritis. The diagnosis of aorto-digestive fistula may be difficult if abdominal pain is isolated and imaging inconclusive. Surgical procedure may be necessary to obtain the diagnosis and constitutes the main part of the treatment before fatal outcome.
大动脉炎中出现的主动脉瘤和狭窄可能需要使用主动脉假体,这可能会并发主动脉-消化道瘘。我们报告了一名41岁女性,她因孤立性腹痛就诊,检查发现是一个人工血管周围的主动脉-十二指肠瘘,这是大动脉炎的一种并发症。如果仅有腹痛且影像学检查结果不明确,主动脉-消化道瘘的诊断可能会很困难。可能需要进行手术以明确诊断,并且在出现致命后果之前,手术是治疗的主要部分。