Celiac trunk aneurysms are rare and can be treated with coil embolization. Migration of the coil with erosion of the arterial wall and further perforation to an extravascular structure, although infrequent, can occur. The authors describe a lethal aortogastric fistula in a patient who had undergone embolization of a celiac trunk aneurysm with tungsten coils and alcohol prolamine solution 10 years earlier. Gastroscopy, performed due to acute hematemesis, showed the coil placed 10 years previously inside the stomach without active bleeding. Two days later, the patient died of a recurrent gastrointestinal bleeding. Autopsy showed abscess formation at the celiac trunk resulting in an aortogastric fistula. The authors discuss the possible cause of this remote complication of the embolotherapy.

译文

:腹腔干动脉瘤很少见,可以用线圈栓塞治疗。尽管不常见,但可能会发生线圈的迁移,并伴有动脉壁的侵蚀,并进一步穿孔至血管外结构。作者描述了在10年前接受钨丝线圈和醇溶谷蛋白胺溶液栓塞的腹腔干动脉瘤栓塞的患者中的致死性主动脉瘘。由于急性呕血而进行的胃镜检查显示,线圈在胃内放置了10年之久,而没有活动性出血。两天后,患者死于胃肠道出血。尸检显示在腹腔干处形成脓肿,导致主动脉瘘。作者讨论了栓塞治疗这种远程并发症的可能原因。

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