大動脈腸管瘻
WordNet
- an abnormal passage leading from a suppurating cavity to the body surface (同)sinus
PrepTutorEJDIC
- 瘻(ろう)菅(長い菅状になった潰瘍)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/02/25 10:12:56」(JST)
[Wiki en表示]
An aortoenteric fistula is a connection between the aorta and the intestines.[1] There can be significant blood loss into the intestines resulting in bloody stool and death.[1] It is usually secondary to an abdominal aortic aneurysm repair.
Diagnosis[edit]
Diagnosis is typically via a CT angiography, esophagogastroduodenoscopy, or arteriography.[1] It is part of the differential diagnosis of gastrointestinal bleeding.[2]
References[edit]
- ^ a b c Xiromeritis, K; Dalainas, I, Stamatakos, M, Filis, K (2011 Jul-Sep). "Aortoenteric fistulae: present-day management.". International surgery 96 (3): 266–73. PMID 22216707.
- ^ Acosta, RD; Wong, RK (2011 Oct). "Differential diagnosis of upper gastrointestinal bleeding proximal to the ligament of Trietz.". Gastrointestinal endoscopy clinics of North America 21 (4): 555–66. doi:10.1016/j.giec.2011.07.014. PMID 21944410.
UpToDate Contents
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English Journal
- Successful Multistaged Surgical Management of Secondary Aortoesophageal Fistula With Graft Infection.
- Afifi RO1, Mushtaq HH1, Sandhu HK1, Khalil K2, Safi HJ2, Estrera AL3.
- The Annals of thoracic surgery.Ann Thorac Surg.2016 Jun;101(6):e203-5. doi: 10.1016/j.athoracsur.2015.10.099.
- Secondary aortoenteric fistula is a rare and dreaded complication of aortic graft replacement. This case demonstrates successful management of a patient with thoracic aortic graft infection resulting in aortoesophageal fistula and the feasibility of combined endovascular approach as a temporary meas
- PMID 27211982
- A Case of Primary Aortoenteric Fistula: Review of Therapeutic Challenges.
- Keunen B1, Houthoofd S1, Daenens K1, Hendriks J2, Fourneau I3.
- Annals of vascular surgery.Ann Vasc Surg.2016 May;33:230.e5-230.e13. doi: 10.1016/j.avsg.2015.11.033. Epub 2016 Mar 8.
- BACKGROUNDS: Primary aortoenteric fistula (PAEF) is a lethal cause of gastrointestinal bleeding. They mainly originate from eroding abdominal aortic aneurysms into the intestinal wall. Other known causes involve malignancies, infection, corpora aliena, or radiation therapy. Traditional treatment con
- PMID 26965800
- Abdominal Vascular Catastrophes.
- Singh M1, Koyfman A2, Martinez JP3.
- Emergency medicine clinics of North America.Emerg Med Clin North Am.2016 May;34(2):327-39. doi: 10.1016/j.emc.2015.12.014.
- Abdominal vascular catastrophes are among the most challenging and time sensitive for emergency practitioners to recognize. Mesenteric ischemia remains a highly lethal entity for which the history and physical examination can be misleading. Laboratory tests are often unhelpful, and appropriate imagi
- PMID 27133247
Japanese Journal
- 症例 危機的な出血性ショックを大動脈閉塞バルーンカテーテルで制しながら手術した一次性大動脈腸管瘻の1例
- 平原 浩幸,菅原 正明,小熊 文昭 [他]
- 外科 = Surgey : 臨床雑誌 77(4), 488-491, 2015-04
- NAID 40020404918
- 腹部大動脈瘤術後18年で発生した大動脈腸管瘻の1例
- 利府 数馬,大木 伸一,三澤 吉雄
- 日本臨床外科学会雑誌 75(1), 60-63, 2014
- 症例は78歳,男性.18年前に腹部大動脈瘤に対しY型人工血管置換術の既往があり,吐下血で近医へ救急搬送された.上下部内視鏡施行されるも出血源不明で,精査目的で当院へ転院となった.転院後の腹部造影CTで腹部大動脈十二指腸瘻と診断し,準緊急手術を施行した.まず,右腋窩-両側大腿動脈バイパス術を施行し,次に,腹部正中切開で開腹した.人工血管中枢側の吻合部瘤が空腸など周囲組織と強固に癒着していた.吻合部瘤 …
- NAID 130004679160
- 坂下 英樹,藤野 隆之
- 日本血管外科学会雑誌 23(4), 792-795, 2014
- 要旨:大動脈腸管瘻で一次性大動脈腸管瘻は稀な病態である.今回吐・下血で発症した腹部大動脈瘤による一次性大動脈腸管瘻を経験した.症例は67 歳の男性で吐・下血が出現し,複数回消化管内視鏡検査を施行されるも出血源は不明であり,CT では45 mm の腹部大動脈瘤を認めていた.繰り返す消化管出血と腹部大動脈瘤の存在から大動脈十二指腸瘻を疑い,準緊急で手術を行う方針としたが,術前夜にショック状態に陥り緊急 …
- NAID 130004490600
Related Links
- An aortoenteric fistula is a connection between the aorta and the intestines. There can be significant blood loss into the intestines resulting in bloody stool and death. It is usually secondary to an abdominal aortic aneurysm repair.
- 11 Feb 2005 ... PRIMARY AEF. • 85% of AAA with AEF were atherosclerotic. • 8% mycotic. • 1% media necrosis. A.H. Tareen and T.V. Schroeder, Primary aorto-enteric fistula Eur J Vasc Endovasc Surg 12. (1996) ...
★リンクテーブル★
[★]
- 英
- aortoenteric fistula
- 関
- 大動脈結腸瘻、下血、血便
参考
- http://blogs.dion.ne.jp/hatepaperworks/archives/11088585.html