Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago

作者：Zhou Jian cang^*; Xu Qiu ping; Shen Lai gen; Pan Kong han; Mou Yi ping

来源：Journal of Zhejiang University-Science B(Biomedicine & Biotechnology), 2009, 10(5): 400-403.

DOI：10.1631/jzus.B0820231

• Aortoduodenal fistula
• Aortic pseudoaneurysm
• Aortic reconstruction
• Stab wound

Gastrointestinal bleeding due to aortoenteric fistula is extremely rare. Aortoenteric fistula is difficult to be diagnosed timely and entails a significant morbidity and mortality. Herein, we present an uncommon case of gastrointestinal bleeding caused by aortoduodenal fistula, which was a complication of a successful aortic reconstruction 4 months ago for an aortic pseudoaneurysm resulted from a stab wound 12 years ago. An urgent laparotomy confirmed an aortoduodenal fistula and repaired the defects in aorta and duodenum, but a prolonged shock led to the patient's death. In summary, early diagnosis and surgical intervention for aortoenteric fistula are vital for survival.

• 出版日期2009-5
• 单位浙江大学