A Successfully Treated Case of Primary Aortoenteric Fistula
10.4326/jjcvs.37.144
- VernacularTitle:一次性大動脈腸管瘻の1救命例
- Author:
Kazunori Ishikawa
;
Hirofumi Midorikawa
;
Megumu Kanno
;
Takashi Ono
;
Shigehiro Morishima
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2008;37(2):144-146
- CountryJapan
- Language:Japanese
-
Abstract:
A 79-year-old man was transferred to our hospital because of massive hematemesis. Contrast-enhanced CT scan demonstrated extravasation of contrast medium into the jejunum. Therefore, we diagnosed primary aortoenteric fistula and performed an emergency operation. At surgical exploration, the jejunum was closely adherent to the normal-sized aorta. The fistula was present between the anterior wall of the aorta and the jejunum. Operative reconstruction was performed with in-situ grafting and a pedicled omentum flap was placed around the graft. The postoperative course was uneventful, and there has been no evidence of infection during the follow-up period of 1 year.
