Radiodiagnóstico, Hospital Clínico Universitario San Cecilio, España.
Radiodiagnóstico, Hospital Clinico Universitario San Cecilio.
Rev Esp Enferm Dig. 2020 May;112(5):416-417. doi: 10.17235/reed.2020.6427/2019.
We present the case of a 80 years-old male patient who underwent a CT angiogram due to hematemesis and hypovolemic shock. An upper gastrointestinal endoscopy revealed a large clot that closed the antrum and abundant red blood in the pyloric-antrum region. Sclerosis was performed blindly and the bleeding origin was not identified and the success of the sclerosis could not be evaluated. A primary aorta-duodenal fistula was observed by CT angiography, which was treated with an endograft and femoro-femoral bypass. The patient was discharged 14 days after admission.
我们报告了一例 80 岁男性患者，因呕血和低血容量性休克而行 CT 血管造影。上消化道内镜检查显示一个大血块封闭了窦部，幽门前区有大量鲜血。盲目进行硬化治疗，未能确定出血部位，也无法评估硬化治疗的效果。CT 血管造影显示存在原发性主-十二指肠瘘，采用覆膜支架和股-股旁路治疗。患者在入院后 14 天出院。
