【空肠缝合线破裂后肠重建一例报告】。

Chirurgia italiana Pub Date : 2009-03-01
Maurizio Castriconi, Antonio Muzi, Giovanni Bartone, Mauro Natale Maglio, Maria Elena Giuliano, Beatrice Ulloa Severino, Francesco Renda
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引用次数: 0

摘要

主动脉肠瘘是主动脉手术的严重并发症,需要迅速、有效的手术干预。我们报告一例继发性主动脉肠瘘治疗假体置换和肠缝合线随后复杂的先前构建的吻合破裂。我们选择重建再干预,通过空肠裂口上方的机械缝合线关闭肠道病变,进行空肠-空肠Roux侧端吻合和环底端端侧吻合。手术通过胃造口术和将瘘管转化为空肠造口术完成。这种干预使我们在30天后出院,病人的总体状况良好。
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[Intestinal reconstruction after dehiscence of a jejunal suture in a patient submitted to aorto-enteric fistula repair: a case report].

Aorto-enteric fistulas are serious complications of aortic surgery that require swift, effective surgical intervention. We report a case of a secondary aortoenteric fistula treated with prosthesis replacement and an intestinal suture subsequently complicated by the dehiscence of the previously constructed anastomosis. We opted for reconstruction re-intervention, closing the intestinal lesion by means of a mechanical suture above the jejunal dehiscence, making a side-to-end jejuno-jejunal Roux anastomosis and an end-to-side anastomosis at the base of the loop. The operation was completed by performing a gastrostomy and transforming the fistula into a jejunostomy. This intervention enabled us to discharge the patient in good general condition after 30 days.

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