Pseudoaneurysm of the inferior gluteal artery: an unusual complication after abdominoperineal resection for rectal cancer. Report of a case.
We report an unusual case of profuse, sporadic hemorrhage from a chronically infected perineal wound after an abdominoperineal resection. Surgical exploration and angiography on two occasions failed to identify the source of bleeding. A pseudoaneurysm of the internal iliac artery was eventually identified with a provocative angiogram using tissue plasminogen activator. This aneurysm was successfully treated with embolization with coils.
Nunoo-Mensah
Joseph W
JW
Department of Colorectal Surgery, Los Angeles County Hospital & University of Southern California, Los Angeles, California 90033, USA. jwnm@lycos.co.uk
Ritter
Manfred P
MP
Wasserberg
Nir
N
Ortega
Adrian
A
Harrell
D
D
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000792:Angiography; D002081:Buttocks / Q000098:blood supply*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D012004:Rectal Neoplasms / Q000601:surgery*