Tatsuishi Wataru, Konno Naoki, Hatori Kyohei, Yoshizumi Tomo, Shibuya Kei, Abe Tomonobu
Division of Cardiovascular Surgery, Department of General Surgical Science, Gunma University, Maebashi, Gunma, Japan.
Division of Cardiovascular Surgery, Department of General Surgical Science, Gunma University, Maebashi, Gunma, Japan.
Ann Vasc Surg. 2020 Nov;69:448.e9-448.e13. doi: 10.1016/j.avsg.2020.05.018. Epub 2020 May 27.
A spontaneous fistula between a ruptured common iliac artery aneurysm and the ileal pouch neobladder is quite rare. We present the case of a 74-year-old man presenting with intense abdominal pain and massive hematuria. Computed tomography angiography revealed a ruptured common iliac artery aneurysm-ileal pouch neobladder fistula. His hemodynamics was unstable; emergent endovascular aortic repair was performed successfully. Infection and dysfunction of the neobladder were avoided owing to appropriate management.
髂总动脉瘤破裂与回肠代膀胱之间形成的自发性瘘极为罕见。我们报告一例74岁男性患者，表现为剧烈腹痛和大量血尿。计算机断层血管造影显示髂总动脉瘤破裂-回肠代膀胱瘘。患者血流动力学不稳定，成功实施了急诊血管内主动脉修复术。由于管理得当，避免了回肠代膀胱感染和功能障碍。
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