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[食管-主动脉瘘作为牵引性憩室的一种并发症]

[Esophageal-aortic fistula as a complication of a traction diverticulum].

作者信息

Margreiter R, Suckert K

出版信息

Chirurg. 1977 May;48(5):331-3.

PMID:405185
Abstract

After massive hematemesis esophageal varices were found by radiography and endoscopy in a 79-year-old woman. Two episodes of bleeding could be stopped with the Sengstaken-Blakemore-tube. The patient, however, died after heavy vomitting of arterial blood, although the tube was in the proper position. Atopsy shows a fistula between a tractiondiverticulum of the esophagus and the aorta. A flaringup of an old tuberculosis, demonstrated by histology, caused the colliquating of the wall of the diverticulum and also the arrosion of the aorta.

摘要

一名79岁女性在大量呕血后,经放射造影和内镜检查发现食管静脉曲张。使用三腔二囊管成功止住了两次出血。然而,尽管管子位置正确,患者在大量呕出动脉血后死亡。尸检显示食管牵引性憩室与主动脉之间存在瘘管。组织学检查证实,陈旧性结核复发导致憩室壁液化,进而侵蚀主动脉。

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