Schwab C W, McMahon D J, Phillips G, Pentecost M J
Division of Traumatology and Surgical Critical Care, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
J Trauma. 1996 Jun;40(6):1021-3. doi: 10.1097/00005373-199606000-00029.
Aortoenteric fistula is a rare complication of abdominal trauma. We present a case of a patient with multiple gunshot wounds to the abdomen and thorax in whom control of injury required staged operations. An aortoenteric fistula developed, presenting a diagnostic and therapeutic challenge. The operative control of aortic bleeding was by a retroperitoneal approach to the aorta and facilitated by the use of percutaneous aortic balloon catheters. The patient survived to leave hospital. This case highlights a rare trauma complication, the use of "damage control" for the severely injured abdomen and the technique of intra-arterial balloon control of bleeding from inaccessible locations.
主动脉肠瘘是腹部创伤的一种罕见并发症。我们报告一例腹部和胸部多处枪伤患者，其损伤控制需要分期手术。发生了主动脉肠瘘，带来了诊断和治疗挑战。通过腹膜后途径处理主动脉出血并借助经皮主动脉球囊导管辅助进行手术控制。患者存活出院。本病例突出了一种罕见的创伤并发症、对严重腹部损伤采用“损伤控制”方法以及从难以接近部位控制动脉出血的动脉内球囊技术。
