Isolated iliac artery aneurysmocolonic fistula with pericolic abscess.
We report the successful management of a 66-year-old man who had common iliac aneurysmosigmoid colon fistula. The initial presentation was abdominal pain, fever, and melena. Digital subtraction angiography showed no evidence of rupture. However, computed tomography scanning revealed fine gas formations in the common iliac artery aneurysm. To reduce the risk of graft infection and prolonged ischemia, we created an extraabdominal femoral-femoral bypass graft, closed the wounds, removed the aneurysm, and closed the colon primarily. The postoperative course and recovery were uneventful.
Ingu
Akira
A
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University Hospital, Hokkaido, Japan. ingu@sapmed.ac.jp
Takagi
Nobuyuki
N
Izumiyama
Osamu
O
Fujita
Masahiro
M
Hasegawa
Tadashi
T
Abe
Tomio
T
D000368:Aged; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000601:surgery*; D003108:Colonic Diseases / Q000175:diagnosis / Q000601:surgery*; D013505:Digestive System Surgical Procedures; D004239:Diverticulitis, Colonic / Q000175:diagnosis / Q000601:surgery; D005402:Fistula / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D014057:Tomography, X-Ray Computed