Fastrez J, Marbaix M, Rettmann R, Lega A
Acta Chir Belg. 1985 Jan-Feb;85(1):61-6.
Aortoenteric fistulas are rare. Located at various level of the gastrointestinal tract - from the esophagus to the rectum - the most frequent are aortoduodenal, secondary to abdominal aortic aneurysms. Two new cases, successfully treated, are reported. The characteristic clinical symptoms are abdominal aortic aneurysm, pain and gastrointestinal bleeding; recurrent bleeding is usual; endoscopy is the accuratest method of early diagnosis. Aggressive surgical approach is mandatory: in addition to a prosthesis in uninfected area, even in extra-anatomical position, epiplooplasty between the graft and the gastrointestinal tract is recommended.
主动脉肠瘘很罕见。它位于胃肠道的不同部位——从食管到直肠——最常见的是主动脉十二指肠瘘，继发于腹主动脉瘤。本文报告了两例成功治疗的新病例。其典型临床症状为腹主动脉瘤、疼痛和胃肠道出血；反复出血很常见；内镜检查是早期诊断的最准确方法。必须采取积极的手术方法：除了在未感染区域植入假体，即使是在解剖外位置，也建议在移植物和胃肠道之间进行网膜成形术。
