Takagi H, Watanabe T, Umemoto T
Department of Cardiovascular Surgery, Shizuoka Medical Center, Shizuoka, Japan -
Int Angiol. 2015 Oct;34(5):454-8. Epub 2014 Sep 12.
Duodenal obstruction caused by abdominal aortic aneurysm (AAA), i.e. "aortoduodenal syndrome," first described by Osler in 1905 is a rare clinical entity, with only several dozens of cases reported in the literature. In the present paper, we systematically searched literature and reviewed them. Databases including MEDLINE and EMBASE were searched from January 1981 to April 2014 using Web-based search engines (PubMed and OVID). Eighteen papers reported 21 cases with aortoduodenal syndrome. Mean age of patients was 74.5±8.4 years, 71.4% of patients were men, and mean AAA diameter was 7.2±2.1 cm. We also discussed confusion between aortoduodenal syndrome and "superior mesenteric artery syndrome" associated with AAA.
腹主动脉瘤（AAA）引起的十二指肠梗阻，即“主动脉十二指肠综合征”，于1905年由奥斯勒首次描述，是一种罕见的临床病症，文献中仅报道了几十例。在本文中，我们系统地检索了文献并进行了综述。使用基于网络的搜索引擎（PubMed和OVID）检索了1981年1月至2014年4月期间的MEDLINE和EMBASE等数据库。18篇论文报道了21例主动脉十二指肠综合征病例。患者的平均年龄为74.5±8.4岁，71.4%的患者为男性，腹主动脉瘤的平均直径为7.2±2.1厘米。我们还讨论了主动脉十二指肠综合征与与腹主动脉瘤相关的“肠系膜上动脉综合征”之间的混淆。
