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- Aortoduodenal Fistula Presenting as Acute Massive Gastrointestinal Bleeding and Recurrent Syncope: Case Report
- 腹主動脈十二指腸瘻管以反覆性大量上消化道出血性休克表現:病例報告
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題名 | Aortoduodenal Fistula Presenting as Acute Massive Gastrointestinal Bleeding and Recurrent Syncope: Case Report=主動脈十二指腸瘻管以反覆性昏厥及大量腸胃道出血表現:病例報告 |
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作者 | 黃武雄; 趙景華; 張簡吉幸; Huang, Wu-shiung; Chiu, King-wah; Changchien, Chi-sin; |
期刊 | 長庚醫學 |
出版日期 | 20000100 |
卷期 | 23:1 2000.01[民89.01] |
頁次 | 頁48-51 |
分類號 | 415.553 |
語文 | eng |
關鍵詞 | 主動脈十二指腸瘻管; 電腦斷層攝影; 腸胃道出血; 偽動脈瘤; Aortoduodenal fistula; Computed tomography; Gastrointestinal bleeding; Pseudoaneurysm; |
英文摘要 | Aortoenteric fistula is a rare condition that may cause death in patients due to gastrointestinal bleeding. The duodenum is the most frequently involved site, at 78.5% of 191 cases by Nagy and Marshall,s meta-analysis. It is characterized by the clinical triad of abdominal pain, gastrointestinal bleeding, and an abdominal mass. Abdominal computed tomography is the most useful tool in detecting an aortoenteric fistula. To prevent a high mortality rate, early diagnosis is necessary. Exploratory laparotomy is required for patients who are highly suspected of having an aortoduodenal fistula. Herein, we report a 60-year-old man who suffered from acute gastrointestinal bleeding, recurrent syncope, and impending shock. Abdominal computed tomography revealed a 6 cm longitudinal aneurysm in the infrarenal aorta. Emergency laparotomy was performed and revealed an aortoduodenal fistula in the fourth portion of the duodenum causing acute duodenal bleeding. The patient survived and has undergone 2 years worth of regular follow-up in our outpatient department. |
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