Katoh J, Shindo S, Kina S, Katahira S, Osawa H, Kobayashi M, Suzuki O, Kamiya K, Tada Y
Second Department of Surgery, Yamanashi Medical University, Japan.
Surg Today. 1995;25(6):554-6. doi: 10.1007/BF00311315.
Aneurysmal rupture into the intestinal tract is a rare but disastrous complication of an internal iliac artery aneurysm. We report herein the successful surgical repair of a fistula between a huge aneurysm of the right internal iliac artery and the rectum in an 81-year-old man. After a femoro-femoral cross-over bypass had been performed, the aneurysm was opened and its patent arterial branches were ligated with sutures. The fistula was then intra-aneurysmally sutured and covered with an omental flap. The diagnostic and therapeutic approaches to this severe complication are discussed with a review of the literature following the presentation of this case.
髂内动脉瘤破裂进入肠道是一种罕见但灾难性的并发症。我们在此报告一名81岁男性右髂内动脉巨大动脉瘤与直肠之间瘘管的成功手术修复。在进行股-股交叉搭桥术后，打开动脉瘤，用缝线结扎其开放的动脉分支。然后在动脉瘤内缝合瘘管，并用网膜瓣覆盖。在介绍该病例后，结合文献复习讨论了这种严重并发症的诊断和治疗方法。
