Successful Surgical Treatment of Anactomotic Aneurysm-enteric Fistula.
10.4326/jjcvs.24.201
- VernacularTitle:Ｓ状結腸穿破をきたした吻合部偽性動脈りゅうの１治験例
- Author:
Masahito Sakai
;
Kyomi Takarabe
;
Hitoshi Ohteki
;
Akihito Watanabe
;
Tomohiro Yonemura
;
Hiroshi Hayashida
;
Hiroshi Ijima
- Publication Type:Journal Article
- Keywords:
extra-anatomical bypass
- From:Japanese Journal of Cardiovascular Surgery
1995;24(3):201-203
- CountryJapan
- Language:Japanese
-
Abstract:
A 37-year-old man who had received graft replacement of right iliac artery 20 years ago was admitted to our hospital because of massive intestinal hemorrhage. CT scan and angiogram showed a pseudoaneurysm originating from a graft anastomosis and the case was diagnosed as aorto-enteric fistula. Emergency operation was performed. Following aneurysmectomy and direct closure of split anastomosed portions, colostomy was performed in descending colon. Femorofemoral artery bypass was made as an extra-anatomical bypass. Fortunately, he has been successfully treated and is doing well now. The most important point for the rescue of cases of aneurysm-enteric fistula is to consider such cases of intestinal hemorrhage after the arterial graft replacement in the abdomen.
