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曾接受肠道切除术及腹主动脉血管腔内修复术并伴有髂内动脉盘绕的患者，行髂动脉至乙状结肠瘘切除术。

Resection of iliac artery to sigmoid colon fistula in patient with prior bowel resection and endovascular aortic repair with hypogastric coiling.

作者信息

Chaney Michael, Stevens Nicholas, Coster Samuel, Welter Matthew, Minnick David, Shebrain Saad

机构信息

Department of Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI.

Division of General Surgery, Bronson Methodist Hospital, Kalamazoo, MI.

出版信息

J Vasc Surg Cases Innov Tech. 2025 Apr 7;11(4):101801. doi: 10.1016/j.jvscit.2025.101801. eCollection 2025 Aug.

DOI:10.1016/j.jvscit.2025.101801
PMID:40458387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12127633/
Abstract

Expedient recognition of arterial-enteric fistulas is important in optimizing patient outcomes. The most commonly described aortoenteric fistula is between the abdominal aorta and third portion of the duodenum that overlies it. This has historically been reported as a rare complication of open aortic aneurysm repair but also has been seen in endovascular repairs. Herein described is a case of a 77-year-old male with history of endovascular aortic repair and left hypogastric coiling for aneurysm who presented with a much rarer form of fistula between the residual sigmoid colon, status-post sigmoidectomy for diverticulitis, and the left hypogastric artery.

摘要

迅速识别动脉-肠瘘对于优化患者预后至关重要。最常描述的主动脉-肠瘘是腹主动脉与覆盖其上的十二指肠第三部分之间的瘘。历史上，这一直被报道为开放性主动脉瘤修复的罕见并发症，但在血管内修复中也有发现。本文描述了一例77岁男性患者，有血管内主动脉修复和左下腹动脉瘤线圈植入史，出现了一种更为罕见的瘘，即残余乙状结肠（因憩室炎行乙状结肠切除术后）与左下腹动脉之间的瘘。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/12127633/a0279701a88c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/12127633/c66029cca3eb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/12127633/ac3e81d575ed/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/12127633/a0279701a88c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/12127633/c66029cca3eb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/12127633/ac3e81d575ed/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/12127633/a0279701a88c/gr3.jpg

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本文引用的文献

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A systematic review of the surgical management of secondary aortoduodenal fistula.二次性主动脉-十二指肠瘘的手术治疗的系统评价。
J Vasc Surg. 2023 May;77(5):1562-1568.e4. doi: 10.1016/j.jvs.2022.10.055. Epub 2022 Nov 5.
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Partial and complete explantation of aortic endografts in the modern era.
J Vasc Surg. 2023 Jan;77(1):97-105. doi: 10.1016/j.jvs.2022.07.016. Epub 2022 Jul 19.
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Massive Gastroepiploic Artery Pseudoaneurysm Presenting as Arterial Enteric Fistula.巨大胃网膜动脉假性动脉瘤表现为动脉性肠瘘。
Ann Vasc Surg. 2021 Aug;75:534.e1-534.e3. doi: 10.1016/j.avsg.2021.03.052. Epub 2021 May 2.
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Surgical treatment for secondary aortoesophageal fistula.外科治疗继发的主动脉-食管瘘。
J Cardiothorac Surg. 2020 Sep 11;15(1):251. doi: 10.1186/s13019-020-01293-x.
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In situ bypass and extra-anatomic bypass procedures result in similar survival in patients with secondary aortoenteric fistulas.原位旁路和解剖外旁路手术在治疗继发性主动脉肠瘘患者时的生存结果相似。
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Management of Aortoenteric Fistula.主动脉肠瘘的管理
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Strategies and outcomes for aortic endograft explantation.主动脉内移植物取出的策略和结果。
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Association Between Diverticular Disease and Abdominal Aortic Aneurysms: Pooled Analysis of Two Population Based Screening Cohorts.憩室病与腹主动脉瘤的相关性：两项基于人群的筛查队列的汇总分析。
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How To Diagnose and Manage Infected Endografts after Endovascular Aneurysm Repair.血管内动脉瘤修复术后感染性内移植物的诊断与处理
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Superior mesenteric artery-duodenal fistula secondary to a gunshot wound.枪伤继发的肠系膜上动脉-十二指肠瘘
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