Journal of

Case Reports and Images in Surgery

 
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Case Report
 
Primary right ileocolic arterial fistula: A case report
Andrew C. Gaugler1, Martin J. Carney1, Adam R. Turnock2, Brian P. Fleischer2, Wesley B. Vanderlan2,3
1DO, Fellow, Department of Trauma and Surgical Critical Care, Miller School of Medicine, University of Miami, USA.
2MD, FACS, Tulane University School of Medicine, Department of Medical Education New Orleans, LA.
3Assistant Clinical Professor of Surgery, Department of Surgery, Louisiana State University, New Orleans, Louisiana, USA.

Article ID: 100030Z12AG2016
doi:10.5348/Z12-2016-30-CR-22

Address correspondence to:
Wesley B. Vanderlan
MD, FACS, 15770 Paul Vega MD Drive
Suite 108A, Hammond, Louisiana 70403
United States of America

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How to cite this article:
Gaugler AC, Carney MJ, Turnock AR, Fleischer BP, Vanderlan WB. Primary right ileocolic arterial fistula: A case report. J Case Rep Images Surg 2016;2:84–87.


Abstract
Introduction: We present the first reported case of a primary ileocolic fistula occurring in an 89- year-old male.
Case Report: The patient presented with abdominal pain and massive hematochezia. Subsequent radioimaging revealed an aneurysm of the right common iliac densely adherent to the sigmoid colon. A left to right femorofemoral bypass between the proximal right common femoral artery to the left common femoral artery was constructed using a cryopreserved human aorta. Recovery was uncomplicated and the patient was discharged to home on postoperative day #11.
Conclusion: Iliac-enteric fistula is a daunting cause of gastrointestinal bleeding that carries a high mortality. While vascular reconstruction and bowel resection has been the treatment of choice, endovascular therapy may be a viable option for future cases.

Keywords: Arterioenteric fistula, Primary arterioenteric fistula, Secondary arterioenteric fistula


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Author Contributions
Andrew C. Gaugler – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Martin J. Carney – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Adam R. Turnock – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Brian P. Fleischer – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Wesley B. Vanderlan – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Andrew C. Gaugler et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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