Endovascular repair of a primary iliac-cecal fistula presenting with gastrointestinal hemorrhage.
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.
Whittaker
Charlotte Sara
CS
Derbyshire Royal Infirmary, London Road, Derby, Derbyshire DE1 2QY, UK. c_whittaker1@yahoo.co.uk
Ananthakrishnan
Ganapathy
G
DeNunzio
Mario Cosimo
MC
Quarmby
John Winston
JW
Bungay
Peter Mark
PM
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*