A Primary Arterio Enteric Fistula with Takayasu Arteritis
A Primary Arterio Enteric Fistula with Takayasu Arteritis
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DOI：
10.2169/internalmedicine.52.8800
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发表时间：
2013-01-01
影响因子：
1.2
通讯作者：
Yokosuka, Osamu
中科院分区：
文献类型：
--
作者：
Minemura, Shoko;Matsumura, Tomoaki;Yokosuka, Osamu
肠动脉瘘（AEFs）是罕见的。我们在此报告一个原发性直肠动脉肠瘘合并大动脉炎的病例。一位77岁的女性因急性大量便血被送到我院。结肠镜检查显示搏动性外源性直肠壁压迫，血管暴露。经阴道超声和多普勒超声显示子宫背侧表面有局部血管生长，显示动脉血流信号。我们诊断病人患有盆腔炎，在直肠壁内形成瘘管。我们通过结扎引流动脉和供血动脉消除了动脉瘤。手术后，患者未出现任何便血复发。
Arterio enteric fistulas (AEFs) are rare. We herein report a case of a primary arterio enteric fistula of the rectum associated with Takayasu arteritis. A 77-year-old woman presented with acute massive hematochezia and was taken to our hospital. Colonoscopy revealed pulsatile extrinsic rectal wall compression with an exposed blood vessel. Transvaginal ultrasonography and Doppler ultrasound revealed a localized vascular growth laying on the dorsal surface of the uterus that showed an arterial blood-flow signal. We diagnosed the patient to have a pelvic aneurism that had formed a fistula within the rectal wall. We eliminated the aneurysm by ligating the drainage and feeder arteries. Following surgery, the patient did not experience any relapses of hematochezia.