[Contribution of arteriography to diagnosis of secondary arterio-digestive fistulas. Intestinal haemorrhage due to ilio-ileal fistula, a complication in vascular reconstruction (author's transl)].
The authors describe a case of secondary ilio-ileal fistula revealed by an intestinal haemorrhage which occurred ten years after vascular reconstruction. They stress the importance of arteriography which shows up the pseudo-aneurysm causing the fistularisation and vascular contrast material escaping into the digestive lumen. A complete review of the literature on arterio-colonic fistulas, and more particularly, ileo-ileal fistulas, shows that they usually express themselves clinically in the form of digestive haemorrhages occurring generally after vascular graft and after a variable lapse of time. The association of digestive haemorrhage and a previous vascular reconstruction should suggest the diagnosis of arterio-digestive fistula and should lead to early angiography to enable coherent surgical strategy to be put into operation.
D000368:Aged; D000783:Aneurysm / Q000150:complications*; D001027:Aortography; D005402:Fistula / Q000000981:diagnostic imaging*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D007412:Intestinal Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D007421:Intestine, Small; D008297:Male
Apport de l'arteriographie au diagnostic des fistules artério-digestives secondaires. Hémorragie intestinale par fistule ilio-iléale, complication d'une restauration vasculaire.