Arterioenteric fistula on a kidney graft site A rare cause of massive lower gastrointestinal bleeding

Journal Article

Al-Qahtani, Hamad H. . 2014

• Publication Work Type: Case Report
• Magazine \ Newspaper: Saudi Medical Journal
• Issue Number: 5
• Volume Number: 35
• Pages: 495-8

Publication Abstract

Primary iliac artery aneurysms are rare, and a fistula to the terminal ileum with bleeding is very uncommon. A case with a primary massively bleeding iliaco-ileal fistula is described. In an emergency operation the common iliac artery was ligated and the fistula to the small bowel was resected. Arterial reconstruction was done by extra-anatomical femoro-femoral suprapubic prosthesis. The immediate outcome of the operation was excellent, but the patient died four days later because of acute myocardial infarction.