Vukobratov V, Damjanov D, Avramov S, Pfau J, Hadnadev L, Pasternak J
Institut za hirurgiju, Medicinski fakultet, Novi Sad.
Med Pregl. 1998 Sep-Oct;51(9-10):441-4.
Aortoenteric fistula represents a communication between aortic and duodenal lumen. It is a very rare complication of aortic aneurysmal disease as well as aortic prosthetic surgery. There are only few surgeons who have seen more than one case of aortoenteric fistula. At the Institute of Surgery one case of aortoenteric fistula was treated. It was well diagnosed at the Institute for Internal Medicine, and then presented to the vascular surgeon who operated immediately. The whole diagnostic and therapeutic procedure was well done, but stenosing carcinoma of ascendent colon was found during the operation. Resection were done leading to the dehiscence of bowel anastomosis and fatal outcome for the patient. This case is instructive in a diagnostic and surgical manner.
主动脉肠瘘是指主动脉腔与十二指肠腔之间的连通。它是主动脉瘤疾病以及主动脉人工血管手术非常罕见的并发症。只有少数外科医生见过不止一例主动脉肠瘘病例。在外科研究所治疗过一例主动脉肠瘘病例。该病例在内科研究所得到了很好的诊断，然后转诊给血管外科医生并立即进行了手术。整个诊断和治疗过程都做得很好，但术中发现升结肠癌狭窄。进行了切除手术，导致肠吻合口裂开，患者最终死亡。该病例在诊断和手术方面具有指导意义。
