并存原发性主动脉-肠瘘和主动脉-结肠瘘导致的致命性胃肠道出血。并发未经治疗的动脉粥样硬化性腹主动脉瘤。

Fatal gastrointestinal haemorrhage due to coexisting primary aorto-enteric and aorto-colic fistulae. Complicating untreated atheromatous abdominal aortic aneurysm.

作者信息

Beh P S, Dickens P

机构信息

Department of Pathology, Faculty of Medicine, University of Hong Kong.

出版信息

Forensic Sci Int. 1998 Sep 28;96(2-3):101-6. doi: 10.1016/s0379-0738(98)00121-2.

DOI:10.1016/s0379-0738(98)00121-2

PMID:9854827

Abstract

We report a case of aorto-enteric and aorto-colonic fistulae in a 73 year old man with no previous abdominal surgery which resulted in massive gastrointestinal haemorrhage and death and was undiagnosed despite several hospital admissions and endoscopic examinations. This case serves to highlight an extremely rare but fatal condition, which is potentially treatable, if an early diagnosis is made.

摘要

我们报告一例73岁男性的主动脉-肠瘘和主动脉-结肠瘘病例，该患者既往无腹部手术史，此次发病导致大量胃肠道出血并死亡，尽管多次住院和接受内镜检查，仍未得到诊断。该病例凸显了一种极为罕见但致命的疾病，如果能早期诊断，这种疾病可能是可治疗的。