主动脉肠瘘
医学
复苏
胃肠道出血
骨盆
腹部
流血
十二指肠
休克(循环)
外科
腹痛
普通外科
放射科
腹主动脉瘤
动脉瘤
作者
Benjamin Stanley,Vivien Nguyen,Goutham Sivasuthan,Matthew J. Burstow
出处
期刊:Case Reports
[BMJ]
日期:2024-02-01
卷期号:17 (2): e258320-e258320
标识
DOI:10.1136/bcr-2023-258320
摘要
A man in his 60s attended emergency for acute-onset abdominal pain and haematemesis. Requiring resuscitation, a CT abdomen/pelvis revealed a primary aortoenteric fistula actively bleeding into the duodenum. His background included a previous severe Q-fever infection and a heavy smoking history. Despite attempts at resuscitation and an emergent surgical attempt at haemostasis, the patient did not survive the massive gastrointestinal haemorrhage. Even in less severe cases, management of aortoenteric fistulas is tricky. Blood cultures and angiographic imaging are important investigations in guiding surgical approach. The pathology tends to have a significant rate of mortality even at tertiary-level vascular surgical centres.
科研通智能强力驱动
Strongly Powered by AbleSci AI