Case ReportsIliac appendiceal fistula: Case presentation and review of management☆
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)
- et al.
Late results following surgical management of vascular graft infection
J Vasc Surg
(1984)
Cited by (13)
Secondary Arterioenteric Fistulation - A Systematic Literature Analysis
2009, European Journal of Vascular and Endovascular SurgeryCitation 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
A case of fistula of the right common iliac aneurysm to the appendix
2002, Annals of Vascular SurgerySurgical management of iliac artery aneurysm-appendiceal fistula
2002, EJVES ExtraArterial and Prosthetic Graft Infection
1992, Annals of Vascular SurgeryAbdominal aortic aneurysm and acute appendicitis: a case report and review of the literature
2021, Journal of Medical Case ReportsFistulae involving the appendix: a systematic review of the literature
2020, ANZ Journal of Surgery
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