Primary abdominoaortic fistula is an extremely rare cause of upper gastrointestinal(GI)bleeding.The diagnosis is frequently delayed due to the rarity of the disease and low index of suspicion by physicians.A range of ...Primary abdominoaortic fistula is an extremely rare cause of upper gastrointestinal(GI)bleeding.The diagnosis is frequently delayed due to the rarity of the disease and low index of suspicion by physicians.A range of invasive and non-invasive diagnostic tools are available,but helical computer tomography(CT) remains the mainstay.Surgery offers the only hope for survival.This case report presents a 47-year-old male with massive upper GI bleeding.Various diagnostic tests and an exploratory laparotomy failed to identify the diagnosis.Later,a primary aortoduodenal fistula was confirmed by CT scan which necessitated surgical repair of the fistula and a Goretex graft for the abdominal aortic aneurysm.The patient made an uneventful recovery and remained well to the first postoperative visit in the clinic 2 wk after surgery.展开更多
病例：患者男性,61岁,主因＂间断腹痛、黑便1月余,再发5 d＂于2017-04-02入院。患者1个多月前无明显诱因出现腹痛,为脐周痛,多次解黑便,每次量约100~500 m L,并出现晕厥,约5 min后意识转清,无头痛、胸痛,无四肢抽搐,无呕血。患者就诊于...病例：患者男性,61岁,主因＂间断腹痛、黑便1月余,再发5 d＂于2017-04-02入院。患者1个多月前无明显诱因出现腹痛,为脐周痛,多次解黑便,每次量约100~500 m L,并出现晕厥,约5 min后意识转清,无头痛、胸痛,无四肢抽搐,无呕血。患者就诊于当地医院,胃镜检查示反流性食管炎,红斑/渗出性胃炎;腹部CT检查示贲门部黏膜强化较明显,胃窦壁水肿,动脉硬化,腹主动脉中段局部溃疡形成。展开更多
文摘Primary abdominoaortic fistula is an extremely rare cause of upper gastrointestinal(GI)bleeding.The diagnosis is frequently delayed due to the rarity of the disease and low index of suspicion by physicians.A range of invasive and non-invasive diagnostic tools are available,but helical computer tomography(CT) remains the mainstay.Surgery offers the only hope for survival.This case report presents a 47-year-old male with massive upper GI bleeding.Various diagnostic tests and an exploratory laparotomy failed to identify the diagnosis.Later,a primary aortoduodenal fistula was confirmed by CT scan which necessitated surgical repair of the fistula and a Goretex graft for the abdominal aortic aneurysm.The patient made an uneventful recovery and remained well to the first postoperative visit in the clinic 2 wk after surgery.
文摘病例：患者男性,61岁,主因＂间断腹痛、黑便1月余,再发5 d＂于2017-04-02入院。患者1个多月前无明显诱因出现腹痛,为脐周痛,多次解黑便,每次量约100~500 m L,并出现晕厥,约5 min后意识转清,无头痛、胸痛,无四肢抽搐,无呕血。患者就诊于当地医院,胃镜检查示反流性食管炎,红斑/渗出性胃炎;腹部CT检查示贲门部黏膜强化较明显,胃窦壁水肿,动脉硬化,腹主动脉中段局部溃疡形成。
