Li Wen-Dong, Wu Guang-Yan, Song Bin, Zhao Jie, Li Xiao-Qiang, Zhou Min
Department of Vascular Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Front Cardiovasc Med. 2022 Oct 11;9:975871. doi: 10.3389/fcvm.2022.975871. eCollection 2022.
Aorto-duodenal fistula (ADF) is a rare cause of upper gastrointestinal bleeding, but it is associated with high mortality. It usually occurs in patients with prior aortic surgery or who have undergone aortic graft placement. Abdominal aortic aneurysm (AAA) might be a cause of primary ADF, which could develop into sudden shock. Because ADF is difficult to diagnose, surgery to correct it has a poor outcome. We here report the successful treatment of an ADF complicated with infected AAA after endovascular repair of a ruptured aneurysm of the iliac artery.
主动脉十二指肠瘘（ADF）是上消化道出血的罕见原因，但死亡率很高。它通常发生在既往有主动脉手术或接受过主动脉移植物植入的患者中。腹主动脉瘤（AAA）可能是原发性ADF的一个原因，可发展为突发休克。由于ADF难以诊断，纠正它的手术效果不佳。我们在此报告1例髂动脉破裂动脉瘤血管腔内修复术后并发感染性AAA的ADF的成功治疗。
