Novel surgical treatment of abdominal aortic aneurysm complicated with primary aorto-colonic fistula
| Autor: | Huang, Maoxun, Piao, Hulin, Wang, Yong, Wang, Weitie, Wei, Shibo, Xie, Chulong, Liu, Kexiang |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Rationale: Primary aorto-colonic fistula is a rare complication of an abdominal aortic aneurysm. Without surgical treatment, the associated mortality rate is 100%. Even if patients receive timely surgical treatment, they may still die of complications such as infection. Patient concerns: A 65-year-old male patient was transferred to our hospital because of massive hematochezia and abdominal pain. Diagnoses: Aortic computed tomography angiography demonstrated abdominal aortic aneurysm complicated with aorto-enteric fistula. Interventions: We used a gelatin-impregnated knitted vascular prosthesis to re-establish the aneurysm in its original position combined with local drainage to treat the fistula. Outcomes: The patient had an uneventful postoperative course, and there was no recurrence during the 18-month follow-up. Lessons: This surgical treatment is suitable for patients with abdominal aortic aneurysms complicated with primary aorto-colonic fistula in which the intestine is very difficult to repair or resect. |
| Databáze: | OpenAIRE |
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