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原发性主动脉十二指肠瘘伴远端胃切除术史。

Primary aortoduodenal fistula with a history of distal gastrectomy.

作者信息

Inoue Kentaro, Fukunaga Ryota, Matsubara Yutaka, Aoyagi Yukihiko, Matsuda Daisuke, Kyuragi Ryoichi, Morisaki Koichi, Matsumoto Takuya, Oki Eiji, Maehara Yoshihiko

机构信息

Department of Surgery and Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.

出版信息

Acute Med Surg. 2016 Jun 9;4(1):105-108. doi: 10.1002/ams2.224. eCollection 2017 Jan.

DOI:10.1002/ams2.224
PMID:29123844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5667283/
Abstract

CASE

A 69-year-old man was transferred to our hospital because of an aortoduodenal fistula with hematemesis and pre-shock vital signs. He had a history of alcoholism, malnutrition, and distal gastrectomy and Billroth I reconstruction. Endovascular aneurysm repair was successfully carried out; however, the presence of comorbidities affected further radical treatment.

OUTCOME

The patient survived for 2 months postoperatively.

CONCLUSION

Endovascular aneurysm repair is a useful first-line treatment for high-risk aortoduodenal fistula patients; however, it requires improvement for long-term outcomes in complicated high-risk cases.

摘要

病例

一名69岁男性因主动脉十二指肠瘘伴呕血及休克前生命体征被转至我院。他有酗酒、营养不良病史，曾行远端胃切除术及毕罗一式重建术。成功进行了血管内动脉瘤修复术；然而，合并症的存在影响了进一步的根治性治疗。

结果

患者术后存活2个月。

结论

血管内动脉瘤修复术是高危主动脉十二指肠瘘患者有用的一线治疗方法；然而，对于复杂高危病例的长期预后仍需改进。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5451/5667283/06a6fb3fc4a0/AMS2-4-105-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5451/5667283/5b1de4a8ce47/AMS2-4-105-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5451/5667283/2d15042c2de7/AMS2-4-105-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5451/5667283/06a6fb3fc4a0/AMS2-4-105-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5451/5667283/5b1de4a8ce47/AMS2-4-105-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5451/5667283/2d15042c2de7/AMS2-4-105-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5451/5667283/06a6fb3fc4a0/AMS2-4-105-g003.jpg

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本文引用的文献

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Endovascular management of secondary aortoduodenal fistula: the importance of gut restoration.继发性主动脉十二指肠瘘的血管内治疗：肠道修复的重要性。
Int J Angiol. 2015 Mar;24(1):55-8. doi: 10.1055/s-0033-1349714.
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Multicenter investigations of the prevalence of abdominal aortic aneurysm in elderly Japanese patients with hypertension.日本老年高血压患者腹主动脉瘤患病率的多中心调查。
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Surgery for secondary aorto-enteric fistula or erosion (SAEFE) complicating aortic graft replacement: a retrospective analysis of 32 patients with particular focus on digestive management.
主动脉移植置换术后并发的继发性主动脉-肠瘘或侵蚀（SAEFE）的手术治疗：32例患者的回顾性分析，特别关注消化管理。
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Management of duodenal perforation post-endoscopic retrograde cholangiopancreatography. When and whom to operate and what factors determine the outcome? A review article.内镜逆行胰胆管造影术后十二指肠穿孔的管理。何时以及对何人进行手术，哪些因素决定预后？一篇综述文章。
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Emergent endovascular treatment of a bleeding recurrent aortoenteric fistula as a "bridge" to definitive surgical repair.出血性复发肠-血管瘘的紧急血管内治疗作为确定性手术修复的“桥梁”。
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Endovascular therapy for infected aortic aneurysms.血管内治疗感染性主动脉瘤。
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Open or endovascular repair of aortoenteric fistulas? A multicentre comparative study.开放式或血管内修复主动脉肠瘘？一项多中心对比研究。
Eur J Vasc Endovasc Surg. 2011 May;41(5):625-34. doi: 10.1016/j.ejvs.2010.12.026. Epub 2011 Feb 15.
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Haematemesis due to primary aortic aneurysm-duodenal fistula - clinical suspicion is the cornerstone of diagnosis: a case report.原发性主动脉瘤-十二指肠瘘致呕血——临床怀疑是诊断的基石：一例病例报告
Cases J. 2009 Jun 9;2:7803. doi: 10.4076/1757-1626-2-7803.
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Outcome after endovascular stent graft repair of aortoenteric fistula: A systematic review.腹主动脉肠瘘血管内支架修复术后的结局：一项系统评价
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Secondary arterioenteric fistulation--a systematic literature analysis.继发性动脉肠瘘——一项系统的文献分析
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