Fielding Cory M, Frandah Wesam, Krohmer Steven, Flomenhoft Deborah
Division of Digestive Diseases and Nutrition in the Department of Internal Medicine (Fielding, Frandah, Flomenhoft) and the Department of Radiology (Krohmer), University of Kentucky, Lexington, Kentucky.
Proc (Bayl Univ Med Cent). 2016 Jan;29(1):30-2. doi: 10.1080/08998280.2016.11929347.
Arterioenteric fistulas are a rare cause of massive gastrointestinal hemorrhage. We present a patient who developed a fistula between a middle colic artery pseudoaneurysm, a proximal branch of the superior mesenteric artery (SMA), and the third part of the duodenum 2 weeks after a self-inflicted gunshot wound to the abdomen. The patient's presentation, evaluation, treatment, and prognosis are discussed. All prior published cases of SMA-duodenal fistulas are reviewed.
动脉肠瘘是导致大量胃肠道出血的罕见原因。我们报告了一名患者,其在腹部自伤枪伤后2周,在肠系膜上动脉(SMA)的近端分支中结肠动脉假性动脉瘤与十二指肠第三部之间形成了瘘管。讨论了该患者的临床表现、评估、治疗及预后。对既往所有已发表的SMA-十二指肠瘘病例进行了回顾。