Multiple ıntestinal transections secondary to aortobifemoral grafting
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aortoenterik fistüller, primer ya da sekonder olarak sınıflandırılır. Aortobifemoral greftlemeye sekonder gelişen çoklu intestinal yaralanma olgusunu sunmaktayız. Elli altı yaşındaki erkek hasta yorgunluk, bitkinlik, ateş ve bilateral femoral bölgede pürülan akıntı nedeniyle hastanemize kabul edildi. Hastaya 4 ay önce aortobifemoral bypass operasyonu yapılmıştı. Bilgisayarlı tomografiyle intestinal perforasyon ve greftin barsağın içine doğru yer değiştirdiği tespit edildi. Operasyonda enfekte olmuş aortobifemoral greft çıkarıldı. İki jejunum segmentinde yırtılma tespit edildi ve segmental rezeksiyon, uç uca anastomoz yapıldı. Postoperatif takibi olağan seyretti ve hasta onuncu gün taburcu edildi.
Aortoenteric fistula is classified as primary or secondary. We report a case in which multiple intestinal transections secondary to aortobifemoral grafting were developed. A 56-year-old male patient admitted to our hospital presenting with tiredness, exhaustion, fever and purulent drainage from bilateral femoral incisions. He had been operated for aortobifemoral bypass grafting four months ago. Intestinal perforation and graft transposition into the intestine were detected with computerized tomography. Infected aortobifemoral graft was removed. Two jejunal segments were found to be transected. Therefore segmental resections and end-to-end anastomosis were performed. The patient had an uneventful postoperative course and was discharged on the tenth day after the operation.
Aortoenteric fistula is classified as primary or secondary. We report a case in which multiple intestinal transections secondary to aortobifemoral grafting were developed. A 56-year-old male patient admitted to our hospital presenting with tiredness, exhaustion, fever and purulent drainage from bilateral femoral incisions. He had been operated for aortobifemoral bypass grafting four months ago. Intestinal perforation and graft transposition into the intestine were detected with computerized tomography. Infected aortobifemoral graft was removed. Two jejunal segments were found to be transected. Therefore segmental resections and end-to-end anastomosis were performed. The patient had an uneventful postoperative course and was discharged on the tenth day after the operation.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Damar Cerrahi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
1
