A case of fistula of the right common iliac aneurysm to the appendix.
We report a very rare case of spontaneous ilioappendicial fistula with right common iliac aneurysm. After the aneurysm was opened, afferent and efferent vessels were closed following extraanatomical femorofemoral bypass, and the appendectomy was performed. The wall of the aneurysm showed the atherosclerotic change and histologic study of the appendix confirmed the diagnosis of acute appendicitis. Enhanced computed tomography was useful for the diagnosis and the extraanatomical bypass was deemed the most effective operative strategy. The pathogenesis of the fistula was surmised to be related to the appendicitis.
Matsuura
Kaoru
K
Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, Funabashi, Chiba, Japan 273-8588. kmatsu@hsp.ncvc.go.jp
Takahara
Yoshiharu
Y
Sudo
Yoshio
Y
Ishida
Keiichi
K
Nakajima
Nobuyuki
N
D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging; D001065:Appendix / Q000000981:diagnostic imaging / Q000473:pathology*; D005767:Gastrointestinal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D012422:Rupture, Spontaneous / Q000150:complications / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed