Rupture of an isolated internal iliac artery aneurysm into the rectum: report of a case.
Aneurysmal rupture into the intestinal tract is a rare but disastrous complication of an internal iliac artery aneurysm. We report herein the successful surgical repair of a fistula between a huge aneurysm of the right internal iliac artery and the rectum in an 81-year-old man. After a femoro-femoral cross-over bypass had been performed, the aneurysm was opened and its patent arterial branches were ligated with sutures. The fistula was then intra-aneurysmally sutured and covered with an omental flap. The diagnostic and therapeutic approaches to this severe complication are discussed with a review of the literature following the presentation of this case.
Katoh
J
J
Second Department of Surgery, Yamanashi Medical University, Japan.
Shindo
S
S
Kina
S
S
Katahira
S
S
Osawa
H
H
Kobayashi
M
M
Suzuki
O
O
Kamiya
K
K
Tada
Y
Y
D000368:Aged; D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D003125:Colostomy; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D012002:Rectal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D014057:Tomography, X-Ray Computed