| Internal iliac aneurysm rupture into the rectum following endovascular exclusion: an unusual cause of massive lower gastrointestinal bleeding. | |
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MedLine Citation:
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PMID: 12546595 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Christos D Karkos; Taohid O Oshodi; Dale Vimalachandran; John S Abraham; Mohan Adiseshiah |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2003-01-27 Completed Date: 2003-05-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 907-11 Citation Subset: IM |
Affiliation:
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Lancaster and Lake District Vascular Unit, Royal Lancaster Infirmary, Lancaster, UK. ckarkos@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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
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