Sebesta P, Pirk J, Filipova H
Institute for Clinical and Experimental Medicine, Department of Surgery, Prague, Czechoslovakia.
Thorac Cardiovasc Surg. 1987 Dec;35(6):378-81. doi: 10.1055/s-2007-1020268.
The case is reported of a 75-year-old female patient developing, on the 15th day after partial resection of an abdominal aortic aneurysm and replacement with vascular prosthesis, acute syndrome of aortomesenteric occlusion of the duodenum. The condition was caused by postoperative haemorrhage into the space framed by the aortic prosthetic replacement and its wrapping with the remnants of the aneurysmal sac. Acute ileus arising subsequently was controlled by posterior gastroenterostomy and Braun's entero-enterostomy between the afferent and efferent loops.
报道了一名75岁女性患者的病例，该患者在腹主动脉瘤部分切除并用血管假体置换术后第15天，出现十二指肠主动脉肠系膜闭塞急性综合征。该病症是由术后出血进入由主动脉假体置换及其与动脉瘤囊残余物包裹形成的间隙所致。随后出现的急性肠梗阻通过胃后吻合术以及在输入袢和输出袢之间进行 Braun 式肠肠吻合术得到控制。
