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Acrobat Distiller 7.0 (Windows); modified using iText® 5.3.3 ©2000-2012 1T3XT BVBA (AGPL-version) (AGPL-version)
Aortoilac surgery · Graft · Sigmoid colon · Fistula · Rectal bleeding · Vascular prosthesis
2015-02-16T09:36:33+01:00
2008-04-17T13:23:39Z
Microsoft Office Word + PDF-T-Maker 3jg083 - 12 May 2007
application/pdf
Secondary Iliac-Enteric Fistula to the Sigmoid Colon Complicated with Entero-Grafto-Cutaneous Fistula
Gábor Bognár
We report the case of a 67-year-old man who was admitted to our department with acute rectal bleeding. The patient had had previous aortoiliac surgery with the utilization of an aortobifemoral vascular prosthesis. Diagnosis of aortoenteric fistula was made between the distal suture line of the right graft leg and the sigmoid colon. This fistula had an enterocutaneous component. After exploratory laparotomy, primary resection of the sigmoid colon, exstirpation of the enterocutaneous fistula, excision of the right graft leg and extraanatomical crossover bypass were successfully performed. This study reports a rare type of aorto/ilac-enteric fistula to the left colon complicated with an entero-grafto-cutaneous component and describes an unusual and successful surgical treatment method.
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