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Open Access 01-12-2022 | Aneurysm | Case report

Fistula between the rectal stump and left iliac artery

Authors: Mariam Alshammari, Jumana Fatani, Ohood Alotaibi, Khalid Alhajri, Khalil Terro

Published in: BMC Surgery | Issue 1/2022

Abstract

Background

Isolated iliac artery aneurysms are rare and difficult to diagnose. It is more common in males. It can be asymptomatic at diagnosis or can present with frank rupture, or symptoms caused by compression on nearby organs.

Case presentation

A 44 years old male was diagnosed with rectosigmoid adenocarcinoma and underwent low anterior resection. One year after the surgery, he presented with fistula between the rectal stump and left iliac artery that was managed by stenting.

Conclusion

A fistula between the rectal stump and the left iliac artery is very rare. There are several treatment options for ilio-rectal fistula but no conclusive specific treatment.

Chait MM. Lower gastrointestinal bleeding in the elderly. World J Gastrointest Endosc. 2010;2:147–54.CrossRef

Marion Y, Lebreton G, Le Pennec V, Hourna E, Viennot S, Alves A. The management of lower gastrointestinal bleeding. J Visc Surg. 2014;151:191–201.CrossRef

Dix FP, Titi M, Al-Khaffaf H. The isolated internal Iliac artery aneurysm—a review. Eur J Vasc Endovasc Surg. 2005;30:119–29.CrossRef

Tsai KT, Lin PJ, Changchien CR, Tsai FC, Hsieh HC. Internal iliac artery aneurysmo-rectal fistula associated with multiple aortoiliac aneurysms. Changgeng Yi Xue Za Zhi. 1997;20(3):226–31 (PMID: 9397615).PubMed

Tin K, Venugopal S, Rao A, Mayer I, Rahmani R. Pseudoaneurysm of the internal iliac artery and iliorectal fistula causing massive lower colonic bleeding. Am J Gastroenterol. 2014;109:S205.CrossRef

Pacewski B, Staszkiewicz W, Madycki G. Iliac artery aneurysms—underestimated problem of vascular surgery. Tętniaki tętnic biodrowych. 2012;8.

Jones Z, Rana MAA, Langsfeld M, Marek J. Clinics in surgery staged endovascular and open surgical management of a ruptured common iliac artery aneurysm presenting with ilio-rectal fistula and hemorrhagic shock. Clin Surg. 2016;1:1156.

Arthur TI, Gillespie CJ, Butcher W, Lu CT. Pseudoaneurysm of the internal iliac artery resulting in massive per-rectal bleeding. J Surg Case Rep. 2013;2013(10):rjt069. CrossRef

Elkouri S, Blair JF, Beaudoin N, Bruneau L. Ruptured solitary internal iliac artery aneurysm: a rare cause of large-bowel obstruction. Can J Surg. 2008;51(6):2007–8.

10.

Brin BJ, Busuttil RW. Isolated hypogastric artery aneurysms. Arch Surg. 1982;117(10):1329–33.CrossRef

Title: Fistula between the rectal stump and left iliac artery
Authors: Mariam Alshammari
Jumana Fatani
Ohood Alotaibi
Khalid Alhajri
Khalil Terro
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Aneurysm
Aneurysm
Published in: BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-022-01776-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Fistula between the rectal stump and left iliac artery

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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