Document Detail


Internal iliac aneurysm rupture into the rectum following endovascular exclusion: an unusual cause of massive lower gastrointestinal bleeding.
MedLine Citation:
PMID:  12546595     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report a rare iliorectal fistula following endovascular treatment of an internal iliac aneurysm. CASE REPORT: A 76-year-old man developed lower gastrointestinal bleeding 3 months after successful endovascular exclusion of a left internal iliac aneurysm with coil embolization, attempted stent-grafting, ligation of the distal external iliac artery, and a femorofemoral crossover bypass. Aortography showed no clear intestinal bleeding point, but demonstrated recanalization and continued perfusion of the aneurysm. At laparotomy, an iliorectal fistula was detected. The common iliac artery was ligated proximally, the aneurysm sac was opened, and the back-bleeding internal iliac artery branches were oversewn. The rectum was closed primarily. He made an uneventful recovery. CONCLUSIONS: An iliorectal fistula is an extremely rare and unlikely complication of coil occlusion of an iliac aneurysm. A high index of suspicion for the diagnosis is of paramount importance. Periodic imaging in these patients is required to detect recanalization and continuing aneurysm expansion.
Authors:
Christos D Karkos; Taohid O Oshodi; Dale Vimalachandran; John S Abraham; Mohan Adiseshiah
Related Documents :
10872485 - The nitinol vascular occlusion plug: preliminary experimental evaluation in peripheral ...
20591235 - Symptomatic cavernous internal carotid artery aneurysms treated with detachable coils.
16462475 - Repeated endovascular coil occlusion in 350 of 2759 intracranial aneurysms: safety and ...
9586925 - Endovascular coil embolization of microsurgically produced experimental bifurcation ane...
6702975 - Ciliary process microvasculature of the primate eye.
9100465 - Efficacy of coronary angioplasty with a cutting balloon in a case of repeated coronary ...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  9     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2003-01-27     Completed Date:  2003-05-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  907-11     Citation Subset:  IM    
Affiliation:
Lancaster and Lake District Vascular Unit, Royal Lancaster Infirmary, Lancaster, UK. ckarkos@hotmail.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Ruptured / complications,  therapy*
Embolization, Therapeutic
Gastrointestinal Hemorrhage / etiology,  therapy
Humans
Iliac Aneurysm / complications,  therapy*
Iliac Artery / injuries,  surgery
Intestinal Fistula / etiology,  therapy
Male
Postoperative Complications / etiology,  therapy
Rectal Fistula / etiology,  therapy
Rectum / injuries,  surgery
Reoperation
Tomography, X-Ray Computed
Vascular Surgical Procedures*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Aortic stent-graft infection due to a presumed aortoenteric fistula.
Next Document:  Perivascular inflammatory reaction to a Hemobahn stent-graft: diagnosis with 3D MR angiography.