Fernández C, Calvete J, García J, Buch E, Castells P, Lledó S
Servicio de Cirugía, Hospital de Sagunto, Puerto de Sagunto, Valencia,España.
Angiologia. 1993 Nov-Dec;45(6):214-7.
Secondary FAE is a rare complication, usually located at the duodenum. The typical clinical presentation is like a digestive hemorrhage or a sepsis. We report two cases of FAE with atypical manifestations. The first case presented a lower digestive hemorrhage produced by the fistulization to the sigma. The second case appeared like an intestinal obliteration caused by the full emigration of a prosthesis to the jejunum. We wish to remark the importance of the clinical suspicion of a FAE (Key of diagnosis), and the sparing relevance of the complementary examinations and the urgency of a surgical treatment in order to avoid the high rate of morbi-mortality associated with this complication.
继发性十二指肠腺化生是一种罕见的并发症,通常位于十二指肠。典型的临床表现类似消化道出血或败血症。我们报告两例具有非典型表现的十二指肠腺化生病例。第一例表现为因向乙状结肠形成瘘管导致的下消化道出血。第二例表现为假体完全移位至空肠引起的肠梗阻。我们想强调临床怀疑十二指肠腺化生(诊断关键)的重要性,以及辅助检查的相对次要性和手术治疗的紧迫性,以避免与该并发症相关的高病亡率。