A case of aortoenteric fistula following abdominal aortic reconstruction.
We report the case of a 64-year-old male patient with graft-enteric fistula. This complication might have been induced by sigmoid colonic ischemia resulting from injury to the mesocolon during abdominal aortic reconstruction. Although sigmoid colonic exteriorization was performed to avoid simultaneous colonic resection, graft-enteric fistula could not be prevented. Two further emergent operations were required to obtain complete remission from this complication, comprising bilateral extra-anatomical axillofemoral bypass grafts and infected graft removal, followed by an operation for left common iliac artery stump disruption. Although the patient remained in good health for 3 years with no complications, he died of aortic stump disruption 43 months after the last operation.
Tsutsumi
Koji
K
Division of Cardiovascular Surgery, Sagamihara Kyodo Hospital, Sagamihara, Japan.
Sato
Yoshinobu
Y
Ookura
Mikihiko
M
D001012:Aorta, Abdominal; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001018:Aortic Diseases / Q000209:etiology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D004378:Duodenal Diseases / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016157:Vascular Fistula / Q000209:etiology* / Q000601:surgery