Bas Ahmet, Simsek Osman, Kandemirli Sedat Giray, Rafiee Babak, Gulsen Fatih, Numan Furuzan
Department of Radiology, Faculty of Medicine, Cerrahpasa University, Istanbul, Turkey.
Department of General Surgery, Faculty of Medicine, Cerrahpasa University, Istanbul, Turkey.
Iran J Radiol. 2015 Apr 22;12(2):e22759. doi: 10.5812/iranjradiol.22759. eCollection 2015 Apr.
Aortoenteric fistula is a rare but significant clinical entity associated with high morbidity and mortality if remain untreated. Clinical presentation and imaging findings may be subtle and prompt diagnosis can be difficult. Herein, we present a patient who initially presented with abdominal pain and computed tomography showed an aortic aneurysm compressing duodenum without any air bubbles. One month later, the patient presented with gastrointestinal bleeding and computed tomography revealed air bubbles within aneurysm. With a diagnosis of aortoenteric fistula, endovascular aneurysm repair was carried out. This case uniquely presented the computed tomography findings in progression of an aneurysm to an aortoenteric fistula.
主动脉肠瘘是一种罕见但重要的临床病症，如果不治疗，其发病率和死亡率都很高。临床表现和影像学表现可能不明显，难以做出及时诊断。在此，我们报告一名患者，最初表现为腹痛，计算机断层扫描显示主动脉瘤压迫十二指肠，未见任何气泡。一个月后，患者出现胃肠道出血，计算机断层扫描显示动脉瘤内有气泡。诊断为主动脉肠瘘后，进行了血管内动脉瘤修复术。该病例独特地呈现了动脉瘤进展为主动脉肠瘘过程中的计算机断层扫描结果。
