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Aortoduodenal fistula and aortic aneurysm secondary to biliary stent-induced retroperitoneal perforation

World Journal of Gastroenterology 2008年第19期14卷 3095-3097页

作者： Tae Hoon Lee Do Hyun Park Ji-Young Park Suck-Ho Lee Il-Kwun Chung Hong Soo Kim Sang-Heum Park Sun-Joo Kim Division of Gastroenterology Department of Internal MedicineSoonchunhyang University College of Medicine Division of Gastroenterology Department of Internal MedicineUniversity of Ulsan College of Medicine

Duodenal perforations caused by biliary prostheses are not uncommon, and they are potentially life threatening and require immediate treatment. We describe an unusual case of aortic aneurysm and rupture which occurred after retroperitoneal aortoduodenal fistula formation as a rare complication caused by biliary metallic stent-related duodenal perforation. To our knowledge, this is the first report describing a lethal complication of a bleeding, aortoduodenal fistula and caused by biliary metallic stent-induced perforation.

关键词： Stents Retroperitoneal perforation aorticaneurysm Fistula

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Surgery for rare aneurysm associated with colorectal cancer

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World Journal of Gastroenterology 2009年第46期15卷 5879-5881页

作者： Pei-Hua Lu Guo-Qing Tao Wei Shen, Bin Cai, Zhi-Yang Jiang Jian Sun Department of General Surgery Wuxi People'sHospital of Nanjing Medical University No. 299 Qingyang RoadWuxi 214023 Jiangsu Province China

The occurrence of concomitant aortic aneurysm and colorectal cancer is a rare medical entity,and con-troversy surrounds its optimal *** report a case of rectal cancer and concomitant aneurysm from the ascending aorta to the common iliac *** with DeBakey typeⅠaortic dissecting aneurysm,our patient was treated by rectal cancer resection,with preservation of the anus(Dixon operation)under controlled *** pressure was maintained at 80-90/50-60 mmHg and the pulse at 70-90 beats/*** pathological examination of the surgical specimen showed a poorly differentiated T3N0 *** patient had an uneventful recovery without aneurysm rupture,and was discharged from hospital on postoperative day 15 after 3 d adjuvant chemotherapy with oxaliplatin combined with calcium folinate and *** patient was given six courses of adjuvant chemotherapy in 6 mo,without recurrence or metastasis,and the aneurysm was still stable after 2 years follow-up.

关键词： Colorectal cancer DeBakey ! aneurysm aorticaneurysm

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