Du Toit D F, Maritz J, Klompje J, Groenewald J H
S Afr Med J. 1983 Aug 6;64(6):216-7.
A patient with a ruptured abdominal aortic aneurysm and a primary aortoduodenal fistula is reported on. Treatment included aneurysmectomy, suture of the duodenal fistula, closure of the proximal and distal abdominal aortic stumps, and construction of an axillobifemoral bypass. The postoperative course was complicated by spinal cord ischaemia and pataplegia, Gram-negative septicaemia, secondary intra-abdominal haemorrhage and multiple abscess formation.
报告了一名腹主动脉瘤破裂并伴有原发性主动脉十二指肠瘘的患者。治疗包括动脉瘤切除术、十二指肠瘘缝合、腹主动脉近端和远端残端闭合以及腋股动脉旁路术的构建。术后过程出现了脊髓缺血和截瘫、革兰氏阴性菌败血症、继发性腹腔内出血以及多处脓肿形成等并发症。
