Kurahashi M, Sugimura S, Ozawa K, Hettori Y, Watanabe K, Sai S, Negi K
Nihon Geka Gakkai Zasshi. 1985 Dec;86(12):1664-6.
A sixty-eight year-old woman complained of acute hematemesis and numbness of the right lower extremity. Physiocal examination on amission demonstrated revealed a pulsating mass in the midabdomen, absence of pulsation of the right femoral artery and cold pale skin of the right leg. The diagnosis of abdominal aneurysm with aortoenteric fistula and embolization embolectomy to the right iliac artery was mode by computed tomography although the fistula was not clearly visualized. The abdominal aneurysm was replaced with a Y-graft after embolectomy and the fistula to the duodenum was completely closed. Early diagnosis and emergency surgery are necessary to save the patient with this rare disease.
一名68岁女性主诉急性呕血和右下肢麻木。入院时体格检查发现中腹部有一搏动性肿块，右股动脉搏动消失，右腿皮肤冰冷苍白。计算机断层扫描诊断为腹主动脉瘤合并主动脉肠瘘，并对右髂动脉进行了栓子切除术，尽管瘘管未清晰显示。栓子切除术后用Y型移植物替换腹主动脉瘤，并完全封闭十二指肠瘘。对于这种罕见疾病的患者，早期诊断和急诊手术是必要的。
