[Pseudoaneurysm of the right iliac artery with fistula into the cecum. A clinical case].
A case is reported of pseudoaneurysm of the right iliac artery secondary to an endarterectomy with dacron patch due to atherosclerosis performed 4 years ago. The case presented acute anemia and massive enteric hemorrhage subsequent to arterial rupture into the cecum. Because of the dramatic onset, the patient was immediately operated. The surgical procedure used was total pseudoaneurysm excision, "in situ" by-pass with dacron prosthesis and suture of the cecum. The problems of pathophysiology, diagnosis, symptoms and management are discussed and compared to previously published cases. The peculiarity of the described case is underlined.
Anfossi
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A
Divisione di Chirurgia Generale, Ospedale Civile, Albenga.
Mosca
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L
Gori
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A
Brunengo
M
M
D000328:Adult; D002429:Cecal Diseases / Q000601:surgery*; D005402:Fistula / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery; D007412:Intestinal Fistula / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D014652:Vascular Diseases / Q000601:surgery
Pseudoaneurisma dell'arteria iliaca destra fistolizzato nel cieco. Osservazione clinica.