Mackay C, Murphy P, Rosenberg I L, Tait N P
Department of Surgery, North Tees General Hospital, Stockton on Tees, Cleveland, UK.
Br J Radiol. 1994 May;67(797):497-8. doi: 10.1259/0007-1285-67-797-497.
Full thickness ischaemic colitis complicates approximately 1-2% of abdominal aortic procedures. Ligation of the inferior mesenteric artery and hypotension are recognized as causative factors. It is not, however, widely appreciated that ischaemic proctitis may also rarely complicate aortic surgery, especially after complex procedures or if there has been additional interruption to the internal iliac circulation. We report a case of rectal necrosis following repair of a thrombosed aortic aneurysm in which plain X-ray appearances aided the diagnosis.
全层缺血性结肠炎是约1%-2%的腹主动脉手术的并发症。肠系膜下动脉结扎和低血压被认为是致病因素。然而，缺血性直肠炎也可能很少并发主动脉手术，这一点并未得到广泛认识，尤其是在复杂手术后或髂内循环出现额外中断时。我们报告一例血栓性主动脉瘤修复术后直肠坏死的病例，其中普通X线表现有助于诊断。
