title: Endovascular repair of a primary iliac-cecal fistula presenting with gastrointestinal hemorrhage.
abstract: We report a case of an arterio-enteric fistula between an external iliac artery aneurysm and otherwise healthy cecum, presenting with torrential hemorrhage per rectum in an 85-year-old patient. Whilst fistulization to the aorta and common iliac arteries has been reported, to our knowledge no previous cases of primary fistulization between an external iliac aneurysm and normal cecum have been. Successful endovascular exclusion of the aneurysm was undertaken with a Wallgraft covered stent and the patient remains well at 1 year.
authors.affiliation: Derbyshire Royal Infirmary, London Road, Derby, Derbyshire DE1 2QY, UK. c_whittaker1@yahoo.co.uk
authors.forename: Charlotte Sara
authors.initials: CS
authors.lastname: Whittaker
authors.forename: Ganapathy
authors.initials: G
authors.lastname: Ananthakrishnan
authors.forename: Mario Cosimo
authors.initials: MC
authors.lastname: DeNunzio
authors.forename: John Winston
authors.initials: JW
authors.lastname: Quarmby
authors.forename: Peter Mark
authors.initials: PM
authors.lastname: Bungay
mesh_terms: D000369:Aged, 80 and over; D000792:Angiography; D002404:Catheterization; D002432:Cecum; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007083:Iliac Artery; D007412:Intestinal Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*