Elsevier

Journal of Vascular Surgery

Volume 1, Issue 5, September 1984, Pages 695-696
Journal of Vascular Surgery

Case Reports
Iliac appendiceal fistula: Case presentation and review of management

https://doi.org/10.1016/0741-5214(84)90142-3Get rights and content

Abstract

The management of aortoenteric fistulas is complex and demanding. The purpose of this review is to present a case of ilioappendiceal fistula and to review its proper management. (J VASC SURG 1984;1:695-6.)

Section snippets

Case report

D.M., a 55-year-old white man, had an abdominal aortic aneurysmectomy with an aortobi-iliac graft in 1977. He had done well from a surgical standpoint, but subsequently developed significant coronary artery disease manifested by a myocardial infarction in January 1983. Clinically he had poor left ventricular function and had experienced several episodes of congestive heart failure. He was receiving multiple cardiac medications as well as warfarin to prevent peripheral embolization.

Two days

Discussion

The management of aortoenteric fistulas is demanding and complicated. In this case, while the anatomic location of the fistula was unusual, the presentation was quite typical in that this patient presented with several episodes of lower gastrointestinal bleeding. This patient underwent essentially every diagnostic procedure available except for an abdominal computerized axial tomographic (CAT) scan without the source of bleeding being found. This illustrates the lack of effectiveness of these

References (3)

There are more references available in the full text version of this article.

Cited by (13)

  • Secondary Arterioenteric Fistulation - A Systematic Literature Analysis

    2009, European Journal of Vascular and Endovascular Surgery
    Citation Excerpt :

    The primary search was made by one author (DB), the results being checked by the other (MB). 194 papers with presentation of 333 individual cases were identified between the years 1953 and 2006.6–204 In one patient the graft limb was placed through the coecum with septic complications.20

  • Arterial and Prosthetic Graft Infection

    1992, Annals of Vascular Surgery
View all citing articles on Scopus

Reprint requests: John W. Kitzmiller, M.D., 3535 West Thirteen Mile Road, Suite No. 209, Royal Oak, MI 48072.

View full text