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首页> 外文期刊>Acute Medicine & Surgery >Simultaneous operation for cancer‐related sigmoid colon perforation and abdominal aortic aneurysm of 76?mm in diameter
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Simultaneous operation for cancer‐related sigmoid colon perforation and abdominal aortic aneurysm of 76?mm in diameter

机译：同时操作癌症相关的锡形结肠穿孔和直径76Ωmm的腹主动脉动脉瘤

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Case A 92‐year‐old woman was emergently admitted to our hospital for peritonitis caused by sigmoid colon cancer perforation, with a coexistent abdominal aortic aneurysm of 76?mm in diameter. Outcome A 92‐year‐old woman was admitted to the hospital with a complaint of abdominal pain and fever of 24‐h duration. On physical examination, severe tenderness with muscular defense and a palpable, pulsating mass were detected in the upper abdomen. The patient was diagnosed as having panperitonitis caused by sigmoid colon perforation. Computed tomography also revealed an infrarenal abdominal aortic aneurysm of 76?mm in diameter. We performed endovascular aneurysm repair to prevent aneurysmal rupture in the perioperative period and simultaneously performed intra‐abdominal drainage and H artmann's operation. The patient's postoperative course was uneventful. Conclusion Simultaneous endovascular aneurysm repair and operation for peritonitis is considered a possible treatment strategy for patients at high risk of abdominal aortic aneurysm rupture.
机译：案例是一名92岁女性的突然录取了我们医院的腹膜炎癌细胞穿孔引起的腹膜炎，其直径为76Ωmm的共存腹主动脉瘤。成果一名92岁的女性被呼吁医院接受了腹痛和24-H持续时间的抱怨。在体格检查中，在上腹部检测到肌肉防御的严重压痛和可触及的脉动肿块。患者被诊断为具有Sigmoid结肠穿孔引起的持续脂肪炎。计算机断层扫描还透露了直径76Ωmm的植物腹主动脉瘤。我们进行了血管内动脉瘤修复，以防止围手术期中的动脉瘤破裂，同时进行腹部引流和HARTMANN的操作。患者的术后课程是不行的。结论同时血管内动脉瘤修复和腹膜炎的运作被认为是腹主动脉瘤破裂患者的可能治疗策略。

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