Broda Magdalena, Budtz-Lilly Jacob, Vammen Sten, Pedersen Steen Fjord
Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Aarhus, Denmark.
J Vasc Surg Cases Innov Tech. 2019 Jun 29;5(3):298-301. doi: 10.1016/j.jvscit.2019.03.020. eCollection 2019 Sep.
We present a case of a 66-year-old woman who developed perigraft seroma after having undergone elective, open abdominal aortic aneurysm repair with a polytetrafluoroethylene graft 5 years previously. One year after graft implantation, she started to suffer from abdominal discomfort and was therefore offered surgical intervention, which she declined owing to the fear of postoperative complications. Instead, an observational strategy was used. Five years later, the patient presented with sudden severe abdominal pain. Subsequent laparotomy revealed that the pseudomembrane lining the perigraft seroma had penetrated through the native aortic wall and into the intraperitoneal cavity, where it had ruptured. The patient was successfully treated by replacing the polytetrafluoroethylene graft with a polyethylene terephthalate (Dacron) graft.
我们报告一例66岁女性患者，该患者在5年前接受了择期开放性腹主动脉瘤修复术，使用聚四氟乙烯移植物，术后出现移植物周围血清肿。移植物植入1年后，她开始出现腹部不适，因此接受了手术干预建议，但由于担心术后并发症而拒绝。取而代之的是采用观察策略。5年后，患者出现突发剧烈腹痛。随后的剖腹手术显示，移植物周围血清肿内衬的假膜已穿透天然主动脉壁进入腹腔，并在腹腔内破裂。通过用聚对苯二甲酸乙二酯（涤纶）移植物替换聚四氟乙烯移植物，患者得到了成功治疗。
