Suezawa Takanori, Aoki Atsushi, Tago Mamoru, Iga Norichika, Miyahara Koji, Wato Masaki, Inaba Tomoki, Kawai Kozo
Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital, Kagawa, Japan.
Ann Vasc Surg. 2011 May;25(4):559.e7-11. doi: 10.1016/j.avsg.2010.12.021.
An inflammatory abdominal aortic aneurysm complicated by primary aortoduodenal fistula was successfully treated by stent grafting. Pharmacotherapy with octreotide after endovascular aneurysm repair was also performed with the expectation of spontaneous and rapid closure of the fistula. Gastrointestinal endoscopy performed 10 days after endovascular aneurysm repair showed closure of the large aortoduodenal fistula, and oral intake was started on the operative day 16. To date, 16 months after the initial operation, the patient is doing well without any symptoms or signs of infection and without any antibiotic therapy.
一例合并原发性主动脉十二指肠瘘的炎性腹主动脉瘤通过支架植入术成功治疗。血管内动脉瘤修复术后还采用奥曲肽进行药物治疗，期望瘘口能自发快速闭合。血管内动脉瘤修复术后10天行胃肠内镜检查显示大的主动脉十二指肠瘘已闭合，术后第16天开始经口进食。至今，初次手术后16个月，患者情况良好，无任何感染症状或体征，也未接受任何抗生素治疗。
