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KMID : 0364020090420050635
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 5 p.635 ~ p.638
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Surgical Treatment for a Primary Arterioenteric Fistula between a Common Iliac Artery Aneurysm and the Terminal Ileum with Massive Bleeding
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Lee Hyung-Chae
Jun Hee-Jae
Choi Kwang-Ho
Lee Yang-Haeng
Hwang Youn-Ho
Lee Seong-Kwang
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Abstract
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A 72-year-old man with progressive, unexplained lower gastrointestinal bleeding presented to the emergency department with abdominal pain and shock. Computed tomography of the abdomen showed a fistula between a right common iliac artery aneurysm and the small intestine. Laparotomy demonstrated a saccular aneurysm of the common iliac artery with a fistulous communication to the terminal ileum. Aneurysmectomy, aortoiliac graft replacement and segmental ileocecal resection with end-to-side anastomosis were all successfully performed. For a patient having an arterioenteric fistula along with lower gastrointestinal bleeding, making an early diagnosis using computed tomography and then performing immediate surgery can be expected to save the patient’s life.
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KEYWORD
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Aneurysm, Fistula, Iliac artery, Intestines
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