Primary aortojejunal fistula manifested as herald gastrointestinal hemorrhage

Chih-Pin Chien , Yung-Sung Yeh , Chong-Chao Hsieh , Chao-Wen Chen , Chau-Yun Chen , Jaw-Yuan Wang
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Abstract

Aortoenteric fistulas (AEFs) are a rare but fatal cause of massive, life-threatening gastrointestinal bleeding and require emergent intervention. The clinical signs of AEF are nonspecific and non-prevalent. The classic triad of AEF (abdominal pain, gastrointestinal hemorrhage, and a pulsatile abdominal mass) exhibit only in 23% of patients with AEF, which makes diagnosis of AEF difficult. Gastroduodenoscopy and abdominal computed tomography are the mainstay studies for AEF in the emergency setting. However, proving the existence of the AEF remains a difficult issue. AEF could be managed either by endovascular stent or open surgery. Herein, we report a case of primary aortojejunal fistula on which a successful surgical aortic reconstruction was performed.

原发性主动脉空肠瘘表现为胃肠道出血的先兆
主动脉肠瘘(AEFs)是一种罕见但致命的原因,大量的,危及生命的胃肠道出血,需要紧急干预。AEF的临床症状是非特异性和不普遍的。AEF的典型三联征(腹痛、胃肠出血和搏动性腹部肿块)仅在23%的AEF患者中表现出来,这使得AEF的诊断变得困难。胃十二指肠镜检查和腹部计算机断层扫描是急诊AEF的主要研究方法。然而,证明AEF的存在仍然是一个困难的问题。AEF可以通过血管内支架或开放手术治疗。在此,我们报告一例原发性主动脉空肠瘘,成功的手术主动脉重建进行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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