网膜蒂在感染性腹主动脉瘤修复中的应用。
Use of omental pedicles in mycotic abdominal aortic aneurysm repair.
作者信息
Alibhai M K, Samee A, Ahmed M, Duffield R
机构信息
Department of Vascular Surgery, Princess Royal Hospital, Telford TF16TF, Apley Castle, Shropshire, UK.
出版信息
Int J Surg Case Rep. 2011;2(6):131-3. doi: 10.1016/j.ijscr.2011.03.002. Epub 2011 Apr 5.
Abstract
We report a case of a sixty year old man with a mycotic infra-renal abdominal aortic aneurysm complicated by a left psoas abscess. After treatment with parenteral antibiotics he underwent early aortic reconstruction with an in-situ prosthetic graft wrapped in an omental pedicle. Mycotic abdominal aortic aneurysms can be treated in this way despite the potential for graft infection from persisting retroperitoneal sepsis.
摘要
我们报告一例60岁男性患者，患有霉菌性肾下腹主动脉瘤并伴有左腰大肌脓肿。经肠外抗生素治疗后，他接受了早期主动脉重建术，使用带蒂大网膜包裹原位人工血管移植物。尽管存在持续性腹膜后感染导致移植物感染的可能性，但霉菌性腹主动脉瘤仍可采用这种方法治疗。
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