Surgical Treatment for a Primary Arterioenteric Fistula between a Common Iliac Artery Aneurysm and the Terminal Ileum with Massive Bleeding / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 635-638, 2009.
Article
em Ko
| WPRIM
| ID: wpr-54987
Biblioteca responsável:
WPRO
ABSTRACT
A 72-year-old man with progressive, unexplained lower gastrointestinal bleeding presented to the emergency department with abdominal pain and shock. Computed tomography of the abdomen showed a fistula between a right common iliac artery aneurysm and the small intestine. Laparotomy demonstrated a saccular aneurysm of the common iliac artery with a fistulous communication to the terminal ileum. Aneurysmectomy, aortoiliac graft replacement and segmental ileocecal resection with end-to-side anastomosis were all successfully performed. For a patient having an arterioenteric fistula along with lower gastrointestinal bleeding, making an early diagnosis using computed tomography and then performing immediate surgery can be expected to save the patient's life.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Choque
/
Dor Abdominal
/
Transplantes
/
Diagnóstico Precoce
/
Emergências
/
Abdome
/
Fístula
/
Hemorragia
/
Íleo
/
Artéria Ilíaca
Tipo de estudo:
Diagnostic_studies
/
Screening_studies
Limite:
Aged
/
Humans
Idioma:
Ko
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2009
Tipo de documento:
Article