复发性主动脉十二指肠瘘

Recurrent aortoduodenal fistula.

作者信息

Scribner R G, Baker M S, Tawes R L, Brown W H, Harris E J

出版信息

Arch Surg. 1977 Oct;112(10):1265. doi: 10.1001/archsurg.1977.01370100119028.

DOI:10.1001/archsurg.1977.01370100119028

Abstract

We describe the second successful repair of a recurrent aortoduodenal fistula (ADF) occurring two years following insertion of the original prosthetic and 18 months following the repair of the first ADF. The recurrent ADF developed at the site of the previous repair, fistulizing between the sutured aorta and the duodenum closed by staples. Despite the admitted technical challenges of reoperation for a third or fourth time, as in the current case, these patients can be salvaged.

摘要

我们描述了第二例成功修复复发性主动脉十二指肠瘘（ADF）的病例。该复发性ADF发生在最初植入人工血管两年后，首次ADF修复术后18个月。复发性ADF在前次修复部位形成，在缝合的主动脉与用吻合器闭合的十二指肠之间形成瘘管。尽管像本例这样再次手术面临公认的技术挑战，但这些患者仍可挽救。