Tabbara Dana, Frankel Adam, Thomson Iain
Department of Surgery, Princess Alexandra Hospital, Woolloongabba, QLD, Australia.
Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
J Surg Case Rep. 2023 Jan 28;2023(1):rjac579. doi: 10.1093/jscr/rjac579. eCollection 2023 Jan.
We report the case of an 80-year-old male with stage three kidney disease, who survived a primary aorto-enteric fistula (AEF) in the setting of chronic Q fever after presenting with melena and syncope. His initial surgical treatment included endovascular aortic repair. Type 2 endoleak was present post-operatively. Six months later, he was diagnosed with a secondary AEF after syncope and large volume hematemesis. He was definitively treated with an open explant of his stent, repair of the duodenum and bilateral axillofemoral bypass. Two years later, he remains active and independent on life-long antibiotics.
我们报告了一例80岁男性三期肾病患者的病例，该患者在出现黑便和晕厥后，在慢性Q热背景下成功存活于原发性主动脉肠瘘（AEF）。他最初的手术治疗包括血管腔内主动脉修复术。术后出现2型内漏。六个月后，他在晕厥和大量呕血后被诊断为继发性AEF。他最终接受了支架开放取出、十二指肠修复和双侧腋股旁路手术。两年后，他在接受终身抗生素治疗的情况下仍然活跃且独立生活。
