title: Abdominal aortic aneurysm in a patient presenting with ischemic colitis.
abstract: A 76-year-old man with an abdominal aortic aneurysm (AAA) initially presented with ischemic colitis, which was improved by conservative treatment. Preoperative assessment by computerized axial tomography scanning and aortography revealed an infrarenal type AAA with mural thrombus, stenoses of the right common iliac artery and the left internal iliac artery. The patient underwent aortoiliac bypass surgery with resection of the stenoses, and reconstruction of the left internal iliac artery. No complications including bowel ischemia, were noted postoperatively. This case emphasized the potential benefits of the extraperitoneal approach to the aorta, reconstruction of both internal iliac arteries, and use of prostaglandin E1.
authors.affiliation: Departments of Thoracic and Cardiovascular Surgery, Mito Saiseikai General Hospital, Mito City, Japan. statebe@yahoo.com
authors.forename: S
authors.initials: S
authors.lastname: Tatebe
authors.forename: H
authors.initials: H
authors.lastname: Kashimura
authors.forename: A
authors.initials: A
authors.lastname: Uehara
authors.forename: M
authors.initials: M
authors.lastname: Shinonaga
authors.forename: S
authors.initials: S
authors.lastname: Kuraoka
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001027:Aortography; D017091:Colitis, Ischemic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male