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病例报告——计算机断层扫描诊断腹主动脉瘤合并原发性主动脉十二指肠瘘。

Case report - Computed tomography diagnosis of an abdominal aortic aneurysm complicated with primary aortoduodenal fistula.

作者信息

Ziani Chaymae, Missaoui Zakariae, Oukrid Khaoula, Haddar Leila, Kasimi Asmae, Nasri Siham, Kamaoui Imane, Skiker Imane

机构信息

Department of Radiology, Mohammed VI University Hospital, Oujda, Morocco.

Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda, Morocco.

出版信息

Radiol Case Rep. 2024 Feb 28;19(5):1980-1985. doi: 10.1016/j.radcr.2024.01.078. eCollection 2024 May.

DOI:10.1016/j.radcr.2024.01.078
PMID:38434788
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10909590/
Abstract

Abdominal aortic aneurysm has been described as a rare condition touching 1% of the population over the age of 50 years with a high percentage of mortality. Aneurysms progress in size, causing deadly complications such as ruptures and fistulas. Computed tomography angiography is considered the gold standard imaging exam for the evaluation of abdominal aortic aneurysms and their complications. We report the case of an elderly patient admitted to the emergency room due to recurrent gastrointestinal bleeding. The computed tomography imaging findings were in favor of an abdominal aortic aneurysm complicated with a primary aortoduodenal fistula.

摘要

腹主动脉瘤被描述为一种罕见疾病,影响着50岁以上1%的人群,死亡率很高。动脉瘤会逐渐增大,引发诸如破裂和瘘管等致命并发症。计算机断层扫描血管造影术被认为是评估腹主动脉瘤及其并发症的金标准影像学检查。我们报告了一例因反复胃肠道出血而入住急诊室的老年患者。计算机断层扫描成像结果显示为腹主动脉瘤合并原发性主动脉十二指肠瘘。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c3e/10909590/a7f929a23dec/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c3e/10909590/a2b7578baf30/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c3e/10909590/349d0552643e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c3e/10909590/5fd162d8fe06/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c3e/10909590/a7f929a23dec/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c3e/10909590/a2b7578baf30/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c3e/10909590/349d0552643e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c3e/10909590/5fd162d8fe06/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c3e/10909590/a7f929a23dec/gr4.jpg

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本文引用的文献

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Endoscopic treatment of primary aorto-enteric fistulas: A case report and review of literature.原发性主动脉肠瘘的内镜治疗:一例病例报告及文献综述。
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