Cardiovasc Intervent Radiol. 2011 Oct;34(5):1106-8. doi: 10.1007/s00270-011-0112-3.
Aortic aneurysm has been reported to be the dominant cause of primary iliac-enteric fistula (IEF) in >70% of cases [1]; other less common causes of primary IEF include peptic ulcer, primary aortitis, pancreatic pseudocyst, or neoplastic erosion into an adjacent artery [2, 3]. We describe an unusual case of IEF managed with a staged approach using an endovascular stent-graft as a "bridge" in the emergency setting to optimize the next elective definitive excision of the lesion.
据报道，在>70%的病例中，主动脉瘤是原发性髂肠瘘（IEF）的主要原因[1]；其他较少见的原发性 IEF 原因包括消化性溃疡、原发性大动脉炎、胰腺假性囊肿或邻近动脉的肿瘤侵蚀[2,3]。我们描述了一例在紧急情况下采用分期方法使用血管内支架移植物作为“桥梁”来管理 IEF 的不寻常病例，以优化下一次对病变的选择性根治性切除。
