Aortoiliac graft‐enteric fistula presenting as gastrointestinal hemorrhage: A report on a complex case management
Key Clinical Message Iliac artery‐enteric fistula is a rare cause of lower GI bleeding and can cause life‐threatening consequences. A high degree of clinical suspicion is needed in patients with previous aortic surgery to allow early multidisciplinary intervention. Abstract This case study discusses...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-08-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.7801 |
| _version_ | 1797737895973355520 |
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| author | Michael Azzopardi Tom Wallace Yazan S. Khaled |
| author_facet | Michael Azzopardi Tom Wallace Yazan S. Khaled |
| author_sort | Michael Azzopardi |
| collection | DOAJ |
| description | Key Clinical Message Iliac artery‐enteric fistula is a rare cause of lower GI bleeding and can cause life‐threatening consequences. A high degree of clinical suspicion is needed in patients with previous aortic surgery to allow early multidisciplinary intervention. Abstract This case study discusses the staged management of a 78‐year‐old patient presenting with life‐threatening lower gastrointestinal (GI) bleeding secondary to an aortoiliac graft‐enteric fistula (GEF) into the sigmoid colon on the background of an adenocarcinoma and diverticular disease. The patient had an aorto bi‐iliac synthetic dacron graft repair of an abdominal aortic aneurysm (AAA) some 20 years ago. Here, we present a case of successful endovascular treatment of massive hemorrhage as a bridge to definitive second‐stage dacron graft explant and autologous vein reconstruction with a simultaneous anterior resection. |
| first_indexed | 2024-03-12T13:35:04Z |
| format | Article |
| id | doaj.art-0f9b606f6a2b451da5751283cb73082f |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-12T13:35:04Z |
| publishDate | 2023-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-0f9b606f6a2b451da5751283cb73082f2023-08-24T05:00:36ZengWileyClinical Case Reports2050-09042023-08-01118n/an/a10.1002/ccr3.7801Aortoiliac graft‐enteric fistula presenting as gastrointestinal hemorrhage: A report on a complex case managementMichael Azzopardi0Tom Wallace1Yazan S. Khaled2Department of Academic Surgery, Leeds Institute of Medical Research St James's University Hospital Leeds UKDepartment of Vascular Surgery, Leeds Vascular Institute Leeds General Infirmary Leeds UKDepartment of Academic Surgery, Leeds Institute of Medical Research St James's University Hospital Leeds UKKey Clinical Message Iliac artery‐enteric fistula is a rare cause of lower GI bleeding and can cause life‐threatening consequences. A high degree of clinical suspicion is needed in patients with previous aortic surgery to allow early multidisciplinary intervention. Abstract This case study discusses the staged management of a 78‐year‐old patient presenting with life‐threatening lower gastrointestinal (GI) bleeding secondary to an aortoiliac graft‐enteric fistula (GEF) into the sigmoid colon on the background of an adenocarcinoma and diverticular disease. The patient had an aorto bi‐iliac synthetic dacron graft repair of an abdominal aortic aneurysm (AAA) some 20 years ago. Here, we present a case of successful endovascular treatment of massive hemorrhage as a bridge to definitive second‐stage dacron graft explant and autologous vein reconstruction with a simultaneous anterior resection.https://doi.org/10.1002/ccr3.7801artery‐enteric fistulagastrointestinal hemorrhagegraft explantsigmoid cancer |
| spellingShingle | Michael Azzopardi Tom Wallace Yazan S. Khaled Aortoiliac graft‐enteric fistula presenting as gastrointestinal hemorrhage: A report on a complex case management Clinical Case Reports artery‐enteric fistula gastrointestinal hemorrhage graft explant sigmoid cancer |
| title | Aortoiliac graft‐enteric fistula presenting as gastrointestinal hemorrhage: A report on a complex case management |
| title_full | Aortoiliac graft‐enteric fistula presenting as gastrointestinal hemorrhage: A report on a complex case management |
| title_fullStr | Aortoiliac graft‐enteric fistula presenting as gastrointestinal hemorrhage: A report on a complex case management |
| title_full_unstemmed | Aortoiliac graft‐enteric fistula presenting as gastrointestinal hemorrhage: A report on a complex case management |
| title_short | Aortoiliac graft‐enteric fistula presenting as gastrointestinal hemorrhage: A report on a complex case management |
| title_sort | aortoiliac graft enteric fistula presenting as gastrointestinal hemorrhage a report on a complex case management |
| topic | artery‐enteric fistula gastrointestinal hemorrhage graft explant sigmoid cancer |
| url | https://doi.org/10.1002/ccr3.7801 |
| work_keys_str_mv | AT michaelazzopardi aortoiliacgraftentericfistulapresentingasgastrointestinalhemorrhageareportonacomplexcasemanagement AT tomwallace aortoiliacgraftentericfistulapresentingasgastrointestinalhemorrhageareportonacomplexcasemanagement AT yazanskhaled aortoiliacgraftentericfistulapresentingasgastrointestinalhemorrhageareportonacomplexcasemanagement |