Iliac-enteric fistula following Dacron patch angioplasty.
We report a patient who developed fistulization between the jejunum and a Dacron patch placed at the bifurcation of the right common iliac artery during endarterectomy 14 years previously. The patient was successfully managed by resection of the iliac bifurcation and a segment of the involved bowel. While arterio-enteric fistulae typically involve prosthetic grafts, they may occur in association with artificial materials used to patch endarterectomy sites; hence, knowledge of technical detail is important in the diagnosis of this complication following endarterectomy.
Robertson
G A
GA
Department of Surgery, University of Arizona, Tucson, Arizona.
Valente
J F
JF
Hunter
G C
GC
Bernhard
V M
VM
Putnam
C W
CW
D000368:Aged; D004691:Endarterectomy / Q000379:methods*; D005402:Fistula / Q000209:etiology*; D006801:Humans; D007083:Iliac Artery; D007412:Intestinal Fistula / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D008297:Male; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000209:etiology*
D011093:Polyethylene Terephthalates