title: Primary arterioenteric fistula between common iliac artery and ileum with massive bleeding.
abstract: Primary iliac artery aneurysms are rare, and a fistula to the terminal ileum with bleeding is very uncommon. A case with a primary massively bleeding iliaco-ileal fistula is described. In an emergency operation the common iliac artery was ligated and the fistula to the small bowel was resected. Arterial reconstruction was done by extra-anatomical femoro-femoral suprapubic prosthesis. The immediate outcome of the operation was excellent, but the patient died four days later because of acute myocardial infarction.
authors.affiliation: Department of Surgery, Maria City Hospital, Helsinki, Finland.
authors.forename: V
authors.initials: V
authors.lastname: Perhoniemi
authors.forename: H
authors.initials: H
authors.lastname: Tykkä
authors.forename: I
authors.initials: I
authors.lastname: Saario
mesh_terms: D000368:Aged; D005402:Fistula / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007077:Ileal Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D007083:Iliac Artery; D007412:Intestinal Fistula / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D008297:Male