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致死性大量上消化道出血的一个原因:主动脉食管瘘。

A Cause of Mortal Massive Upper Gastrointestinal Bleeding: Aortoesophageal Fistula.

作者信息

Akin Mete, Yalcinkaya Tolga, Alkan Erhan, Arslan Gokhan, Tuna Yasar, Yildirim Bulent

机构信息

Department of Gastroenterology, Akdeniz University School of Medicine, Antalya, Turkey.

Department of Gastroenterolgy, Burdur State Hospital, Burdur, Turkey.

出版信息

Med Arch. 2016 Feb;70(1):79-81. doi: 10.5455/medarh.2016.70.79-81. Epub 2016 Jan 31.

Abstract

INTRODUCTION

Aortoesophageal fistula is an uncommon but mortal cause of massive upper gastrointestinal bleeding. The most common causes are thoracic aortic aneurisym, foreign body reaction, malignancy and postoperative complication. It can be seen in different pattern on upper gastrointestinal endoscopy. There are surgical, endoscopic and interventional radiological treatment options, however, definitive treatment is surgical intervention. Diagnosis and treatment desicion should be made quickly because of rapid and mortal course.

CASE REPORT

In this article, a case of aortoesophageal fistula was presented that resulted in mortality as a result of massive bleeding.

摘要

引言

主动脉食管瘘是导致大量上消化道出血的一种罕见但致命的病因。最常见的病因是胸主动脉瘤、异物反应、恶性肿瘤和术后并发症。在上消化道内镜检查中可呈现不同表现。有手术、内镜及介入放射学等治疗选择,然而,确定性治疗是手术干预。由于病情发展迅速且致命,应迅速做出诊断和治疗决策。

病例报告

本文介绍了一例因大出血导致死亡的主动脉食管瘘病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d689/4779346/32aaad3c6617/MA-70-79-g001.jpg

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