Primary arterioenteric fistula between common iliac artery and ileum with massive bleeding.
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.
Perhoniemi
V
V
Department of Surgery, Maria City Hospital, Helsinki, Finland.
Tykkä
H
H
Saario
I
I
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