title: Lower gastrointestinal bleeding as a result of fistula between the iliac artery and sigmoid colon in patient with advanced testicular cancer.
abstract: Fistula between arteries and the gastrointestinal tract are a rare cause of gastrointestinal bleeding, but potentially fatal. The recognition and early treatment can modify the patient prognosis. We report a case of a patient with previous surgery for seminoma of cryptorchidic testicle, with massive lower gastrointestinal bleeding. We performed the diagnosis and surgical treatment of the fistula between left external iliac artery and sigmoid colon. The patient was successfully treated by external iliac artery ligation and left colectomy.
authors.affiliation: Instituto de Humanidades Artes e Ciências Professor Milton Santos, Bahia Federal University, Bahia, Brazil.
authors.forename: Vanessa Prado dos
authors.initials: VP
authors.lastname: Santos
authors.forename: Álvaro Filho
authors.initials: ÁF
authors.lastname: Razuk
authors.forename: Valter Castelli
authors.initials: VC
authors.lastname: Júnior
authors.forename: Roberto Augusto
authors.initials: RA
authors.lastname: Caffaro
mesh_terms: D000328:Adult; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007412:Intestinal Fistula / Q000150:complications*; D008297:Male; D012810:Sigmoid Diseases / Q000150:complications* / Q000601:surgery; D013736:Testicular Neoplasms / Q000150:complications*; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000150:complications*