Sakurai Hiromichi, Kawai Koji, Onozawa Mizuki, Akahane Masaaki, Takizawa Reo, Miyazaki Jun
Department of Urology, International University of Health and Welfare Narita Hospital, Narita, Japan.
Department of Radiology, International University of Health and Welfare Narita Hospital, Narita, Japan.
Urol Case Rep. 2021 Jun 8;39:101746. doi: 10.1016/j.eucr.2021.101746. eCollection 2021 Nov.
A primary aortoduodenal fistula (PADF) has rarely been reported as a complication of testicular cancer. A 48-year-old Japanese male with relapsed retroperitoneal lymph node metastases received four courses of paclitaxel, ifosfamide, and cisplatin (TIP). On day 19 of the fourth cycle of TIP, he developed hematochezia and hypovolemic shock. Angiography confirmed the presence of a PADF, and we then deployed an endovascular stent graft in the aorta. Although the bleeding improved, the patient died of re-bleeding that developed 18 days later. It is important to recognize this severe complication in order to achieve its early diagnosis and optimal surgical intervention.
原发性主动脉十二指肠瘘（PADF）作为睾丸癌的一种并发症鲜有报道。一名48岁复发性腹膜后淋巴结转移的日本男性接受了四个疗程的紫杉醇、异环磷酰胺和顺铂（TIP）治疗。在TIP第四周期的第19天，他出现便血和低血容量性休克。血管造影证实存在PADF，随后我们在主动脉内植入了血管内支架移植物。尽管出血情况有所改善，但患者在18天后死于再次出血。认识到这种严重并发症对于实现早期诊断和最佳手术干预至关重要。
