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原发性腹主动脉瘤十二指肠瘘1例
引用本文:朱翠萍,汤绍辉. 原发性腹主动脉瘤十二指肠瘘1例[J]. 南方医科大学学报, 2014, 34(9): 1390
作者姓名:朱翠萍  汤绍辉
作者单位:暨南大学附属第一医院消化内科,广东广州,510630
摘    要:腹主动脉瘤消化道瘘是腹主动脉瘤少见但极为严重的并发症,是消化道出血的少见病因。本文报道1例原发性腹主动脉
瘤十二指肠瘘患者,以腹痛、便血、呕血为主要症状,经电子结肠镜、腹部增强CT及血管三维重建等检查确诊,及时行手术等治
疗,病人痊愈。


关 键 词:腹主动脉瘤  十二指肠瘘  腹痛  消化道出血

Primary abdominal aortoduodenal fistula: a case report
ZHU Cuiping,TANG Shaohui. Primary abdominal aortoduodenal fistula: a case report[J]. Journal of Southern Medical University, 2014, 34(9): 1390
Authors:ZHU Cuiping  TANG Shaohui
Abstract:Abdominal aortoenteric fistula (AAEF) is a rare but life-threatening complication of abdominal aortic aneurysms,
and is also an uncommon cause of gastrointestinal hemorrhage. We report a case of primary abdominal aortoduodenal fistula
in a 74-year-old male patient, whose main clinical manifestations were abdominal pain, hematochezia, and hematemesis.
Colonoscopy, abdominal enhanced computed tomography (CT) and three-dimensional reconstruction angiography confirmed
the diagnosis. The patient recovered well after emergent surgical management.
Keywords:abdominal aortic aneurysm  duodenal fistula  abdominal pain  gastrointestinal hemorrhage
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