DUARTE, Nádia et al. Fístula da artéria ilíaca para o cego: a propósito de um caso clínico. []. , 10, 3, pp.163-166. ISSN 1646-706X.

^lpt^aO desenvolvimento de uma fístula entre uma grande artéria e o intestino é incomum, constituindo normalmente um evento catastrófico. Os autores descrevem um caso de um homem de 78 anos, com história prévia de stenting ilíaco. O doente recorre ao SU por hematoquézia, em choque hipovolémico e séptico com dor à palpação dos quadrantes inferiores do abdómen. Realizou TC sugerindo hematoma com bolhas aéreas a envolver artéria ilíaca externa (AIE) direita e isquemia do cólon. Submetido a cirurgia, constatando-se hemorragia arterial abundante da AIE, exteriorização do stent e fístula da artéria ilíaca para o cego (ílio-cecal). Procedeu-se a laqueação da AIE, colectomia total e bypass femoro-femoral. Evolução em choque séptico com falência multiorgânica e óbito ao 15.^º dia pós-operatório. A propósito deste caso clínico, não havendo outros descritos na literatura, os autores discutem a terapêutica das fístulas ílio-cecais. © 2014 Sociedade Portuguesa de Angiologia e Cirurgia Vascular. Publicado por Elsevier España, S.L.U. Todos os direitos reservados.^len^aThe development of a fistula between a major artery and the bowel is infrequent, but usually catastrophic. The authors describe the case of a 78 year old man, with a previous history of iliac stenting. He presented to the emergency department with hematochezias, in hypovolemic and septic shock, with tenderness in the lower abdomen. CT was performed suggesting hematoma with air surrounding the right EIA and colonic ischemia. Surgery was performed, finding abundant arterial hemorrhage originating from the EIA, exteriorization of the stent and iliac-cecal fistula. Ligation of the EIA, total colectomy and femoral-femoral bypass were performed. Evolution to septic shock and multi-organic failure resulted in the patient‘s The development of a fistula between a major artery and the bowel is infrequent, but usually catastrophic. The authors describe the case of a 78 year old man, with a previous history of iliac stenting. He presented to the emergency department with hematochezias, in hypovolemic and septic shock, with tenderness in the lower abdomen. CT was performed suggesting hematoma with air surrounding the right EIA and colonic ischemia. Surgery was performed, finding abundant arterial hemorrhage originating from the EIA, exteriorization of the stent and iliac-cecal fistula. Ligation of the EIA, total colectomy and femoral-femoral bypass were performed. Evolution to septic shock and multi-organic failure resulted in the patient‘s death at 15th post-operative day. Regarding this case and without similar cases described in literature, the authors discuss the therapeutic approach to iliac-cecal fistula. © 2014 Sociedade Portuguesa de Angiologia e Cirurgia Vascular. Published by Elsevier España, S.L.U. All rights reserved.

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