title: Iliac Artery-Uretero-Colonic Fistula Presenting as Severe Gastrointestinal Hemorrhage and Hematuria: A Case Report and Review of the Literature.
abstract: Arterioenteric fistulas represent an infrequent but potentially fatal cause of gastrointestinal hemorrhage. Patients often present in extremis from shock and sepsis. This mandates a rapid diagnosis so that prompt, potentially life-saving interventions can be performed. We report the case of a 35-year-old man who presented with hematuria and hematochezia secondary to an iliac artery-uretero-colonic fistula that developed years after open common iliac artery aneurysm repair. His condition rapidly progressed to hemorrhagic shock, and he underwent successful endovascular treatment with a covered stent graft as a bridge to definitive open surgery. Subsequently, graft explantation, extra-anatomic arterial bypass, bowel resection, and ureter ligation was undertaken. A summary of the literature on iliac artery-enteric fistulas follows.
authors: Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY.
authors: Aleksandra
authors: A
authors: Policha
authors: Department of General Surgery, New York University Langone Medical Center, New York, NY.
authors: Melissa
authors: M
authors: Baldwin
authors: Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY.
authors: Firas
authors: F
authors: Mussa
authors: Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY. Electronic address: caron.rockman@nyumc.org.
authors: Caron
authors: C
authors: Rockman
mesh_terms: D000328:Adult; D003108:Colonic Diseases / Q000150:complications / Q000175:diagnosis*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007083:Iliac Artery; D007412:Intestinal Fistula / Q000150:complications / Q000175:diagnosis*; D008297:Male; D014515:Ureteral Diseases / Q000150:complications / Q000175:diagnosis*; D014548:Urinary Fistula / Q000150:complications / Q000175:diagnosis*; D016157:Vascular Fistula / Q000150:complications / Q000175:diagnosis*