Abstract

DUARTE, Nádia et al. External iliac artery fistula to cecum: case report. Angiol Cir Vasc [online]. 2014, vol.10, n.3, pp.163-166. ISSN 1646-706X.

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 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.

Keywords : Vascular fistula; Direct surgery; but usually catastrophic.

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