Список литературы

2687-0940

Challenges in modern medicine

2687-0940

10.18413/2687-0940-2020-43-1-146-154

SURGERY

SECONDARY AORTO-DUODENAL FISTULA. RECURRENT BLEEDING. DIFFICULTIES OF TOPICAL DIAGNOSIS AND TACTICAL ERRORS (CASE FROM CLINICAL PRACTICE)

Panasyuk

A. I.

Panasyuk

A. I.

Kyshtymov

S. A.

Kyshtymov

S. A.

Inozemcev

E. O.

Inozemcev

E. O.

Grigoryev

E. G.

Grigoryev

E. G.

2020

43100

The paper presents the case report of a secondary aorto-digestive fistula, which developed eight years after aortic prosthetics and was complicated by recurrent hemorrhage and anemia. The authors review the incidence of primary and secondary aorto-digestive fistulas, causes of their occurrence, localization variants, main clinical symptoms and methods of instrumental diagnostics. Various therapeutic and tactical approaches are discussed. With specific reference to the clinical case, the authors explain the complexity of topical diagnosis of the hemorrhage origin and treatment of this group of patients. Special attention is paid to therapeutic and tactical faults due to the lack of accurate information about the localization of aorto-digestive fistula. The complexity of the situation was also accounted for the effects of aortic prosthesis performed under retroperitoneal suppurative process. The article interprets the reasons for inadequate information value of MSCT-aortography and invasive aortography.

aortic prostheticsretroperitoneal abscessaorto-duodenal fistulagastrointestinal bleeding. splenomegaly

Список литературы

1. Andrejchuk K.A., Soroka V.V., Andrejchuk N.N. 2015. Redkie formy oslozhnennyh anevrizm brjushnoj aorty. Kardiologija i serdechno-sosudistaja hirurgija [Rare forms of complicated abdominal aor-tic aneurysms. Cardiology and cardiovascular surgery]. 8 (4): 30–36.

2. Batvinkov N.I., Gorjachev P.A., Vasilevskij V.P., Kardis A.I., Cilindz' A.T., Truhanov A.V. 2013. Aorto-jenteral'naja fistula kak prichina zheludochno-kishechnyh krovotechenij [Aorto-enteric fistu-la as the cause of gastro-enteric bleedings]. Zhurnal Grodnenskogo gosudarstvennogo medicinskogo uni-versiteta, 3 (43): 105–107.

3. Kostoglodova N.S., Zlobina A.I., Brovko S.V. 2016. Opyt operativnogo lechenija lozhnoj anevrizmy infrarenal'nogo otdela brjushnoj aorty, oslozhnennoj aorto-duodenal'noj fistuloj s razvitiem profuznogo zheludochno-kishechnogo krovotechenija [Experience of surgical treatment of a false aneu-rysm of the infrarenal abdominal aorta complicated by aorto-duodenal fistula with the development of profuse gastrointestinal bleeding]. V kn.: Materialy X Jubilejnoj Mezhdunarodnoj nauchno-prakticheskoj konferencii molodyh uchenyh-medikov (Kursk, 26–27 fevralja 2016 g.). Kursk, Izd-vo KGMU: 381–384.

4. Kulikovskij V.F., Karpachev A.A., Soloshenko A.V., Jarosh A.L., Nikolaev S.B., Korzhova A.A., Gnashko A.V. 2017. Klinicheskie sluchai redkih krovotechenij iz verhnih otdelov zheludochno-kishechnogo trakta [Clinical cases of rare bleeding of the upper sections of gastrointestinal tract]. Nauchnye vedomosti Bel-gorodskogo gosudarstvennogo universiteta. Serija: Medicina. Farmacija, 19 (268): 118–126.

5. Lebedev N.V., Klimov A.E. 2010. Jazvennye gastroduodenal'nye krovotechenija [Ulcerative gastroduodenal hemorrhages]. M.: Izd-vo BINOM, 176.

6. Pokrovskij A.V. 1979. Zabolevanie aorty i ejo vetvej [Disease of the aorta and its branches]. M., Medicina, 328.

7. Romanovich A.V., Hryshhanovich V.Ja., Kikoin G.S., Turljuk D.V. 2016. Sluchaj uspeshnoj rekonstrukcii aorto-bedrennogo segmenta nativnym aortal'nym allograftom pri inficirovanii sintetich-eskogo proteza s formirovaniem aorto-duodenal'noj fistuly. Jekstrennaja medicina [A case of successful reconstruction of aorto-femoral segment using fresh aortic allograft in treatment of paraprostethic infec-tion with formation of aorto-duodenal fistula]. 5 (2): 302–308.

8. Rukovodstvo po neotlozhnoj hirurgii organov brjushnoj polosti [Guidelines for emergency ab-dominal surgery]. Pod redakciej V.S. Savel'eva. M., Izd-vo Triada-H, 2005, 640.

9. Stjazhkina S.N., Klimentov M.N., Leonova A.D., Mordvina A.N., Nasibova Sh.H., Za-maraeva D.D. 2017. Aorto-duodenal'naja fistula (klinicheskie nabljudenija) [Aorta-duodenal fistula (case report)]. Problemy sovremennoj nauki i obrazovanija, 14 (96): 108–111.

10. Trushnikova R.V., Mullahmetova O.A., Zykov S.Ju. 2018. Sporadicheskie sluchai oslozhnenij anevrizmy aorty v praktike vracha-rentgenologa pri vypolnenii KT-aortografii [Sporadic cases of compli-cations of an aortic aneurysm in the practice of the doctor – the radiologist when performing CT-aortography]. Rossijskij jelektronnyj zhurnal luchevoj diagnostiki, 8 (1): 202–207.

11. Colombi D., Bodini F.C., Sverzellati N., Morelli N., Capelli P., Michieletti E. 2018. A case of recur-rent secondary aortoenteric fistula 4 months after surgery treated by endovascular coiling of the aortic stump and bilateral chimney stent grafts to renal arteries. Ann. Vasc. Surg., 59: 310. e1-310. e5. doi: 10.1016/j.avsg. 12.104.

12. Lirici M.M., Tierno S.M., Giudice R., Coscarella C., Graziani M.G., Pogany G. 2019. Secondary aortoenteric fistula successfully treated with staged endovascular repair and duodenal resection without graft removal. Minim. Invasive. Ther. Allied. Technol., 8: 1–6. doi: 10.1080/13645706.2019.1581623.

13. Miyamoto K., Inaba M., Kojima T., Niguma T., Mimura T. 2016. Intra-aortic balloon occlu-sion (IABO) may be useful for the management of secondary aortoduodenal fistula (SADF): A case re-port. Int. J. Surg. Case Rep., 25: 234–237. doi: 10.1016/j.ijscr.2016.06.010.

14. Saito H., Nishikawa Y., Akahira J.I., Yamaoka H., Okuzono T., Sawano T., Tsubokura M., Yama-ya K. 2019. Secondary aortoenteric fistula possibly associated with continuous physical stimulation: a case report and review of the literature. J. Med. Case. Rep., 13 (1): 61. doi: 10.1186/s13256-019-2003-1.

15. Simó Alari F., Molina González E., Gutierrez I., Ahamdanech-Idrissi A. 2017. Secondary aor-toduodenal fistula and the unrecognised herald bleed. Case Reports, 2017: bcr-2017-220186. doi: 10.1136/bcr-2017-220186.

16. &Scaron;umskienė J., &Scaron;veikauskaitė E., Kondrackienė J., Kupčinskas L. 2016. Aorto-duodenal fistula: a rare but serious complication of gastrointestinal hemorrhage. A case report. Acta Med Litu, 23 (3): 165–168. doi: 10.6001/actamedica.v23i3.3380.