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并发胆囊十二指肠瘘和原发性主动脉肠瘘。

Concurrent cholecystoduodenal fistula and primary aortoenteric fistula.

作者信息

Zad Mohammadali, Do Cuong N, Teo Andrew, Dixon Eliza, Welch Christine, Karamatic Rozemary

机构信息

Gastroenterology, Caboolture Hospital, Caboolture 4510, Australia.

General Medicine, Metro South Health Service, Brisbane 4102, Australia.

出版信息

Oxf Med Case Reports. 2021 Oct 26;2021(10):omab102. doi: 10.1093/omcr/omab102. eCollection 2021 Oct.

DOI:10.1093/omcr/omab102
PMID:34729200
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8557450/
Abstract

Bilioenteric fistulae are a rare complication and can pose a diagnostic challenge owing to non-specific symptomology. When occurring with an aortoenteric fistula, it represents a rare and potentially life-threatening disease state. We present the case of a 77-year-old gentleman initially treated as presumed ascending cholangitis. This was complicated by upper gastrointestinal bleeding secondary to an aortoenteric fistula and cholecystoduodenal fistula.

摘要

胆肠瘘是一种罕见的并发症，由于症状不具特异性，可能会带来诊断挑战。当与主动脉肠瘘同时出现时，它代表一种罕见且可能危及生命的疾病状态。我们报告一例77岁男性患者，最初被诊断为疑似升胆管炎。该病例并发了由主动脉肠瘘和胆囊十二指肠瘘引起的上消化道出血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3c9/8557450/357614667031/omab102f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3c9/8557450/b5ae16d1c473/omab102f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3c9/8557450/a71458c60b7f/omab102f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3c9/8557450/5b8e55b20813/omab102f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3c9/8557450/357614667031/omab102f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3c9/8557450/b5ae16d1c473/omab102f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3c9/8557450/a71458c60b7f/omab102f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3c9/8557450/5b8e55b20813/omab102f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3c9/8557450/357614667031/omab102f4.jpg

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本文引用的文献

1
Cholecystoduodenal fistula, an infrequent complication of cholelithiasis: Our experience in its surgical management.胆囊十二指肠瘘，一种胆石症的罕见并发症：我们在其外科治疗方面的经验。
Rev Gastroenterol Mex. 2017 Oct-Dec;82(4):287-295. doi: 10.1016/j.rgmx.2016.10.010. Epub 2017 Apr 5.
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Diagnosis and Treatment of Biliary Fistulas in the Laparoscopic Era.腹腔镜时代胆瘘的诊断与治疗
Gastroenterol Res Pract. 2016;2016:6293538. doi: 10.1155/2016/6293538. Epub 2015 Dec 24.
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Choledochoduodenal fistula in Mainland China: a review of epidemiology, etiology, diagnosis and management.
中国大陆的胆总管十二指肠瘘：流行病学、病因、诊断及治疗综述
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CT imaging of biliary enteric fistula.胆肠瘘的CT成像
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The internal biliary fistula--reappraisal of incidence, type, diagnosis and management of 33 consecutive cases.肝内胆管瘘——对连续33例病例的发病率、类型、诊断及治疗的重新评估
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Choledochoduodenal fistula: a complication of a penetrated duodenal ulcer.胆总管十二指肠瘘：十二指肠溃疡穿孔的一种并发症。
Hepatogastroenterology. 1996 May-Jun;43(9):489-91.