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Diseases of the Colon & Rectum
Published in: Diseases of the Colon & Rectum 1/2007

01-01-2007 | Case Reports

Pseudoaneurysm of the Inferior Gluteal Artery: An Unusual Complication After Abdominoperineal Resection for Rectal Cancer. Report of a Case

Authors: Joseph W. Nunoo-Mensah, B.M., B.S., F.R.C.S., Manfred P. Ritter, M.D., Nir Wasserberg, M.D., Adrian Ortega, M.D., D. Harrell, M.D.

Published in: Diseases of the Colon & Rectum | Issue 1/2007

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Abstract

We report an unusual case of profuse, sporadic hemorrhage from a chronically infected perineal wound after an abdominoperineal resection. Surgical exploration and angiography on two occasions failed to identify the source of bleeding. A pseudoaneurysm of the internal iliac artery was eventually identified with a provocative angiogram using tissue plasminogen activator. This aneurysm was successfully treated with embolization with coils.
Literature
1.
Ryan, JM, Key, SM, Dumbleton, SA, Smith, TP 2001Nonlocalized lower gastrointestinal bleeding: provocative bleeding studies with intra-arterial tPA, heparin, and tolazolineJ Vasc Interv Radiol1212731277PubMed
2.
Bloomfeld, RS, Smith, TP, Schneider, AM, Rockey, DC 2000Provocative angiography in patients with gastrointestinal hemorrhage of obscure originAm J Gastroenterol9528072812PubMedCrossRef
3.
Shetzline, MA, Suhocki, P, Dash, R, Rockey, DC 2000Provocative angiography in obscure gastrointestinal bleedingSouth Med J9312051208PubMed
Metadata
Title
Pseudoaneurysm of the Inferior Gluteal Artery: An Unusual Complication After Abdominoperineal Resection for Rectal Cancer. Report of a Case
Authors
Joseph W. Nunoo-Mensah, B.M., B.S., F.R.C.S.
Manfred P. Ritter, M.D.
Nir Wasserberg, M.D.
Adrian Ortega, M.D.
D. Harrell, M.D.
Publication date
01-01-2007
Publisher
Springer-Verlag
Published in
Diseases of the Colon & Rectum / Issue 1/2007
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI
https://doi.org/10.1007/s10350-006-0742-8

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