Right common iliac arterio-intestinal fistula caused by tubercular peritonitis: report of a case.
A 59-year-old female was admitted with massive hematemesis and melena. A hematological examination revealed that the red blood cell count was 1.31 x 10(6)/mm3, Hb 3.4 g/dl, and Hct 12%. No source of bleeding was found by an emergency endoscopic examination of the esophagus, stomach and duodenum, or by superior mesenteric angiography. At laparotomy a right common iliac arterio-intestinal fistula was found. The microscopic examination of this part of the ileum, including the fistula, revealed the presence of tubercular peritonitis. An extra-anatomic bypass graft using a prosthetic graft was performed between the left and right femoral arteries because reconstruction of the right common iliac artery was impossible.
Iwamoto
I
I
Department of Surgery, Miyazaki Shigun Ishikai Hospital, Japan.
Takechi
Y
Y
Tomoe
H
H
Shimayama
T
T
Edagawa
M
M
Karashima
S
S
Koga
Y
Y
D001807:Blood Vessel Prosthesis; D005260:Female; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007083:Iliac Artery; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D014395:Peritonitis, Tuberculous / Q000150:complications*; D014375:Tuberculoma / Q000150:complications*