Yanase Yohsuke, Fukada Johji, Tamiya Yukihiko
Department of Cardiovascular Surgery, Otaru Municipal Medical Center for Brain, Cardiovascular and Mental Disorders, Otaru, Hokkaido, Japan.
Ann Vasc Dis. 2015;8(1):46-8. doi: 10.3400/avd.cr.14-00109. Epub 2015 Mar 9.
We describe rare ilio-enteric fistula that developed after endovascular repair of a left internal iliac artery aneurysm (IIAA). An 83-year-old man with a history of previous surgeries via laparotomies suddenly developed a high fever 3 years after undergoing endovascular abdominal aortic repair (EVAR) with a stent-graft to treat a left isolated IIAA. Computed tomography imaging revealed a fistula between the IIAA and the sigmoid colon. A colostomy was created because severe intraperitoneal adhesions prevented resection of the IIAA. The postoperative course was uneventful and the patient remained free of infection without antibiotics. Residual aneurysms can cause complications after EVAR.
我们描述了一例罕见的髂内动脉动脉瘤（IIAA）血管内修复术后发生的回肠瘘。一名有开腹手术史的83岁男性，在接受血管内腹主动脉修复术（EVAR）并用支架移植物治疗左侧孤立性IIAA 3年后突然出现高热。计算机断层扫描成像显示IIAA与乙状结肠之间存在瘘管。由于严重的腹腔内粘连阻碍了IIAA的切除，故行结肠造口术。术后病程平稳，患者未使用抗生素，未发生感染。血管内腹主动脉修复术后，残余动脉瘤可导致并发症。
