Arterioenteric fistulae: diagnosis and treatment by angiography.
Two cases of massive gastrointestinal haemorrhage caused by arterioenteric fistulae are presented. In both cases, bleeding was controlled by interventional angiography. In the first case, a fistula between an aberrant right subclavian artery and a reconstructed oesophagus was temporarily occluded with a balloon catheter as a pre-surgical measure. In the second case a communication between the external iliac artery and the colon in a patient with invasive cervical cancer was treated by embolization. An arterioenteric fistula should be considered as a possible cause of acute gastrointestinal haemorrhage in post-operative or cancer patients and aortography or pelvic arteriography may be required to make the diagnosis.
Hirakata
R
R
Department of Radiology, Faculty of Medicine, Kyusyu University, Fukuoka, Japan.
Hasuo
K
K
Yasumori
K
K
Yoshida
K
K
Masuda
K
K
D002404:Catheterization; D003108:Colonic Diseases / Q000150:complications*; D004621:Embolization, Therapeutic; D004937:Esophageal Fistula / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D005402:Fistula / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging*; D007412:Intestinal Fistula / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013348:Subclavian Artery / Q000000981:diagnostic imaging*