Adamek H E, Maier M, Kohler B, Zurmeyer E L, Riemann J F
Medizinische Klinik C, Klinikum der Stadt Ludwigshafen.
Leber Magen Darm. 1996 Nov;26(6):317-9.
The aortoenteric fistula is one of the rare causes of gastrointestinal bleeding. A 73 year old patient presented with a secondary fistula after implantation of a synthetic graft. The diagnosis was confirmed by endoscopy. At elective laparotomy, a communication between the graft and the duodenum was discovered. Principally the combination of gastrointestinal bleeding and aortic graft is always suspicious of an aortoenteric fistula. The treatment must be surgical.
主动脉肠瘘是胃肠道出血的罕见原因之一。一名73岁患者在植入人工血管后出现继发性瘘。通过内镜检查确诊。在择期剖腹手术中，发现人工血管与十二指肠之间存在连通。主要是，胃肠道出血与主动脉人工血管同时出现总是怀疑存在主动脉肠瘘。治疗必须采取手术方式。
