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- W2019600112 abstract "A 74-year-old man with Parkinson's disease, but no history of cardio-pulmonary or bowel disease, was admitted with acute abdominal pain and shock. An immediate ultrasound examination revealed a large RAAA. At emergency laparotomy, a widespread left retroperitoneal haematoma was found and the sigmoid colon appeared ischaemic. After opening the aneurysm and removing the thrombus, a 5 cm long aortovenous fistula to the inferior mesenteric vein was visualised. The fistula was closed from inside the aorta. The retroperitoneal aneurysmal rupture was on the left side posterior to the fistula. A 16mm Dacron tube graft (Unigraft, Braun-Melsungen) was inserted. The retroperitoneum was closed over Gentacoll 130mg (Implantat Gentamicinum, Schering-Plough) and the ischaemic left colon removed. Postoperatively the patient was treated with intravenous cephalosporine, aminoglycoside and metronidazole for 11 days. After discharge, oral cephalosporine was continued for 2 weeks. There was no postoperative infection. At 3" @default.
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- W2019600112 title "Aortovenous fistula to the inferior mesenteric vein in a ruptured abdominal aortic aneurysm" @default.
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- W2019600112 doi "https://doi.org/10.1016/s1078-5884(98)80078-6" @default.
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