A Case of Lower Gastrointestinal Bleeding Caused by Primary Iliac Arterio-colic Fistula.
10.4166/kjg.2010.56.2.113
- Author:
Young Il KIM
1
;
Seon Young PARK
;
Won Joo KI
;
Ho Seok KI
;
Kyoung Won YOON
;
Hyun Soo KIM
;
Sung Kyu CHOI
;
Jong Sun REW
Author Information
1. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. dshskim@hanmail.net
- Publication Type:Case Report ; English Abstract
- Keywords:
Arterio-colic fistula;
Gastrointestinal bleeding;
Angiography
- MeSH:
Colonic Diseases/complications/*diagnosis;
Female;
Gastrointestinal Hemorrhage/*etiology;
Humans;
Iliac Artery/*radiography;
Intestinal Fistula/complications/*diagnosis;
Middle Aged;
Stents;
Tomography, X-Ray Computed;
Vascular Fistula/complications/*diagnosis
- From:The Korean Journal of Gastroenterology
2010;56(2):113-116
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Arterio-enteric fistula is a very rare cause of massive lower gastrointestinal hemorrhage. We report here on a case of massive hematochezia caused by iliac arterio-colic fistula in a 60-year-old woman who had a recent history of spinal surgery for herniated nucleus pulposus. Abdomen computed tomography showed the extravasation of radiocontrast media from right iliac artery encased by an intraabdominal abscess into the adjacent dilatated colon. Also, diagnostic angiography revealed the active extravasation of radiocontrast media via a fistula between right iliac artery and colon. Although successful endovascular exclusion of the fistula with stent graft and coils was performed, disseminated intravascular coagulation and multi-organ failure were developed.
