Savlania Ajay, Sharma Vibhav, Rastogi Pulkit, Singh Harjeet, Sharma Vishal, Mandavdhare Harshal S
Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Int J Mycobacteriol. 2019 Jan-Mar;8(1):110-112. doi: 10.4103/ijmy.ijmy_32_19.
Tubercular aortitis presenting as primary aortoenteric fistula (AEF) is a rare entity. We present a 78-year-old male who presented with upper gastrointestinal bleed and also had abdominal pain and pulsating abdominal mass and on evaluation was found to have tubercular AEF which was successfully repaired with surgery and the patient recovered with antitubercular therapy along with the surgery. This case highlights the importance of high index of suspicion with early institution of surgical repair along with antitubercular therapy for tubercular AEF with good results.
表现为原发性主动脉肠瘘（AEF）的结核性主动脉炎是一种罕见的疾病。我们报告一名78岁男性，他因上消化道出血就诊，同时伴有腹痛和腹部搏动性肿块，经评估发现患有结核性AEF，通过手术成功修复，患者在接受抗结核治疗及手术的情况下康复。该病例强调了对于结核性AEF要有高度怀疑指数，并尽早进行手术修复及抗结核治疗的重要性，结果良好。
