Browse > Article

Surgical Treatment for a Primary Arterioenteric Fistula between a Common Iliac Artery Aneurysm and the Terminal Ileum with Massive Bleeding  

Lee, Hyung-Chae (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Jun, Hee-Jae (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Choi, Kwang-Ho (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Lee, Yang-Haeng (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Hwang, Youn-Ho (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Lee, Seong-Kwang (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
Publication Information
Journal of Chest Surgery / v.42, no.5, 2009 , pp. 635-638 More about this Journal
Abstract
A 72-year-old man with progressive, unexplained lower gastrointestinal bleeding presented to the emergency department with abdominal pain and shock. Computed tomography of the abdomen showed a fistula between a right common iliac artery aneurysm and the small intestine. Laparotomy demonstrated a saccular aneurysm of the common iliac artery with a fistulous communication to the terminal ileum. Aneurysmectomy, aortoiliac graft replacement and segmental ileocecal resection with end-to-side anastomosis were all successfully performed. For a patient having an arterioenteric fistula along with lower gastrointestinal bleeding, making an early diagnosis using computed tomography and then performing immediate surgery can be expected to save the patient's life.
Keywords
Aneurysm; Fistula; Iliac artery; Intestines;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Korkut AK, Arpinar E, Yasar T, Guncy D. Primary aortoduodenal fistula complicated by abdominal aortic aneurysm. J Cardiovasc Surg 2000;41:113-5
2 Salmon M. Aneurysms de l'aorte ventral; most par rupture de la pouche arterielle dans le duodenum. Bull Soc Anal 1843;2188:18
3 Jacobs MJ, Reul GJ, Gregoric I, Cooley DA. In-situ replacement and extra-anatomic bypass for the treatment of infected abdominal aortic grafts. Eur J Vasc Surg 1991;5:83-6   DOI   ScienceOn
4 Walker WE, Cooley DA, Duncan JM, Hallman GL, Ott DA, Reul GJ. The management of aortoduodenal fistula by in situ replacement of infected abdominal aortic graft. Ann Surg 1987;205:727-32   DOI   PUBMED
5 Bueks JA Jr, Faries PL, Gravereaux EC, Hollier LH, Marin ML. Endovascular repair of bleeding aortoenteric fistulas: a 5-year experience. J Vasc Surg 2001;34:1055-9   DOI   ScienceOn
6 Bergqvist D. Arterioenteric fistula. Review of a vascular emergency. Acta Chir Scand 1987;153:81-6   PUBMED
7 Nathan MJ, Darling RC. Massive gastrointestinal hemorrhage due to iliac artery-intestinal fistula. Ann Surg 1967; 165:448   DOI   PUBMED
8 Saers SJ, Scheltinga MR. Primary aortoenteric fistula. Br J Surg 2005;92:143-52   DOI   ScienceOn
9 Kim DY, Chung SY, Kim SK. Aortoenteric fistula - report of two cases-. J Korean Soc Vsc Surg 1994;10:106-11
10 Mark AS, Moss AA, Mccarthy S, McComin M. CT of aortoenteric fistula. Invest Radiology 1985;20:272-5   DOI   PUBMED
11 Sweeney MS, Gadaca TR. Primary aortoduodenal fistula: manifestation, diagnosis and treatment. Surgery 1984;96: 492-7   PUBMED