Chambers J L, Graham J C, Appleberg M
Department of Vascular Surgery, Royal North Shore Hospital, Sydney, New South Wales.
Aust N Z J Surg. 1988 Jun;58(6):514-5. doi: 10.1111/j.1445-2197.1988.tb06246.x.
Primary aorto-appendiceal fistula has been reported only once previously. A further case is presented in which bleeding, per rectum, occurred in association with rupture of an aorto-iliac aneurysm adherent to an acutely inflamed appendix. Postoperatively the patient had several complications including permanent asymmetrical L1 paraplegia and delayed presentation of an intramedullary abscess of the femur which grew Bacteroides fragilis organisms. These complications highlight the high morbidity associated with aortocolic fistulae.
原发性主动脉-阑尾瘘此前仅报道过1例。本文报告了另外1例，该患者因腹主动脉-髂动脉瘤破裂并与急性炎症性阑尾粘连而出现直肠出血。术后患者出现了多种并发症，包括永久性不对称性L1截瘫和股骨骨髓内脓肿延迟出现，脓肿培养出脆弱拟杆菌。这些并发症凸显了主动脉-结肠瘘相关的高发病率。
