J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2099KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 86(12): 1664-1666, 1985

Original article

A CASE OF AORTOENTERIC FISTULA WITH ILIAC EMBOLIZATION

The Department of Thoracic Surgery, School of Medicine, Fujita Gekuen Health University, Toyoake, Japan

Masato Kurahashi, Shuichiro Sugimura, Katsuo Ozawa, Yoshinobu Hettori, Koji Watanabe, Suisho Sai, Koji Negi

A sixty-eight year-old woman complained of acute hematemesis and numbness of the right lower extermity. Physiocal examination on amission demonstrated revealed a pulsating mass in the midabdomen, absence of pulsation of th right femoral artery and cold pale skin of the right leg. The diagnosis of abdominal aneurysm with aortoenteric fistula and embolization embolectomy to the right iliac artery was mode by computed tomography although the fistula was not clearly visualized. The abdominal aneurysm was replaced with a Y-graft after embolectomy and the fistula to the duodenum was completely cosed. Early diagnosis and emergency surgery are necessary to save the patient with this rare disease.

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