[Aortoenteric fistula to the sigmoid colon complicated with entero-grafto-cutaneous fistula].
We report a case of a 62-year-old man who presented to the emergency department with acute rectal bleeding. The patient had previous aortoiliac surgery with the utilization of an aorto-bifemoral vascular graft. Diagnosis of secondary aortoenteric fistula was made between the aortoiliac graft and sigmoid colon. This fistula had an entero-cutaneous component. After exploratory laparotomy resection of the sigma, extirpation of the entero-cutaneous fistula, excision of the graft, oversewing of the aortic stump, and extra-anatomical crossover bypass were successfully performed. This study reports a rare type of secondary aortoenteric fistula to the sigmoid colon complicated with an entero-grafto-cutaneous component and it describes an unusual and successful surgical treatment.
Bognár
Gábor
G
Semmelweis Egyetem, Altalános Orvostudományi Kar II sz Sebészeti Klinika, Budapest. bgabor@kut.sote.hu
Sugár
István
I
Laczkó
Agnes
A
Ondrejka
Pál
P
Ledniczky
György
G
D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D017577:Cutaneous Fistula / Q000150:complications / Q000175:diagnosis*; D005263:Femoral Artery / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012810:Sigmoid Diseases / Q000150:complications / Q000175:diagnosis*; D016157:Vascular Fistula / Q000150:complications / Q000175:diagnosis / Q000191:economics*