Bognár Gábor, Sugár István, Sipos Péter, Ledniczky György, Laczkó Agnes, Ondrejka Pál
2nd Department of Surgery, Semmelweis University, Budapest, Hungary.
Case Rep Gastroenterol. 2008 Apr 17;2(1):138-43. doi: 10.1159/000121470.
We report the case of a 67-year-old man who was admitted to our department with acute rectal bleeding. The patient had had previous aortoiliac surgery with the utilization of an aortobifemoral vascular prosthesis. Diagnosis of aortoenteric fistula was made between the distal suture line of the right graft leg and the sigmoid colon. This fistula had an enterocutaneous component. After exploratory laparotomy, primary resection of the sigmoid colon, exstirpation of the enterocutaneous fistula, excision of the right graft leg and extraanatomical crossover bypass were successfully performed. This study reports a rare type of aorto/ilac-enteric fistula to the left colon complicated with an entero-grafto-cutaneous component and describes an unusual and successful surgical treatment method.
我们报告了一例67岁男性患者，因急性直肠出血入住我科。该患者曾接受过主动脉髂动脉手术，使用了主动脉双股血管假体。诊断为右移植肢体远端缝线处与乙状结肠之间的主动脉肠瘘。该瘘管有肠皮肤瘘成分。经剖腹探查后，成功进行了乙状结肠一期切除、肠皮肤瘘切除、右移植肢体切除及解剖外交叉旁路手术。本研究报告了一种罕见的主动脉/髂动脉-肠瘘至左结肠并伴有肠-移植物-皮肤瘘成分的病例，并描述了一种不同寻常且成功的手术治疗方法。
