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Aortoenterične fistule = Aortoenteric fistulaeFlis, VojkoAortoenterične fistule so komunikacije med prebavno cevjo in aorto. Pojavljajo se lahko spontano pri anevrizmi aorte (primarne fistule) ali po delni zamenjavi aorte z žilno protezo (sekundarne ... fistule). Značilni simptomi pri bolnikih so krvavitve iz prebavil in bolečine v abdomnu ali križu. Pogoste so tudi septične komplikacije. Pri bolnikih z dokazano anevrizmo abdominalne aorte ali s predhodno rekonstruktivno operacijo na abdominalni aorti in krvavitvijo iz prebavil ali septičnimi komplikacijami je treba v diferencialni diagnozi najprej pomisliti na aortoenteritično fistulo in jo dokazati ali izključiti. Spontano nastale fistule lahko zdravimo z resekcijo anevrizme, prešitjem odprtine na črevesju in vstavitvijo nove žilne proteze. Pri fistulah po predhodni rekonstruktivni operaciji na aorti je na voljo več kirurških in znotrajžilnih možnosti. Umrljivost je še vedno velika in se giba med 25 % in 90 %. Prikazan je primer bolnika s sekundarno aortoenterično fistulo, ki je obilno zakrvavel in je po več kirurških posegih umrl zaradi večorganske odpovedi.Source: Medicinski mesečnik. - ISSN 1854-1313 (Letn. 4, št. 1, jan. 2008, str. 15-22)Type of material - article, component part ; adult, seriousPublish date - 2008Language - slovenianCOBISS.SI-ID - 2890047
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Flis, Vojko | 05328 |
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