Division of Vascular Surgery, Department of Surgery, Medical College of Georgia at Augusta University, Augusta, GA.
Division of Vascular Surgery, Department of Surgery, Medical College of Georgia at Augusta University, Augusta, GA.
Ann Vasc Surg. 2021 Oct;76:599.e11-599.e14. doi: 10.1016/j.avsg.2020.12.010. Epub 2021 Jan 27.
Coil migration into the colon is an extremely rare complication of aneurysm embolization and only three cases have been reported. Two of these cases were managed with resection of the involved colon and the remaining case was managed with serial imaging. We present a 70-year-old man who developed hematochezia 2 years after coil embolization of a ruptured left hypogastric artery aneurysm. The patient was successfully treated with diverting colostomy and endoscopic closure of the sigmoid colon defect. We present the only case report of the use of advanced endoscopy to treat endovascular coil migration.
线圈迁移到结肠是动脉瘤栓塞的一种极其罕见的并发症，仅有三例报道。其中两例通过切除受累结肠进行治疗，剩余一例通过连续影像学检查进行治疗。我们报告了一例 70 岁男性，在破裂的左髂内动脉动脉瘤线圈栓塞后 2 年出现血便。患者通过转流性结肠造口术和乙状结肠缺损的内镜下闭合成功治疗。我们报告了使用先进的内镜治疗血管内线圈迁移的唯一病例报告。
