Abstract
Abstract
Background
Isolated iliac artery aneurysms are rare and difficult to diagnose. It is more common in males. It can be asymptomatic at diagnosis or can present with frank rupture, or symptoms caused by compression on nearby organs.
Case presentation
A 44 years old male was diagnosed with rectosigmoid adenocarcinoma and underwent low anterior resection. One year after the surgery, he presented with fistula between the rectal stump and left iliac artery that was managed by stenting.
Conclusion
A fistula between the rectal stump and the left iliac artery is very rare. There are several treatment options for ilio-rectal fistula but no conclusive specific treatment.
Publisher
Springer Science and Business Media LLC
Reference10 articles.
1. Chait MM. Lower gastrointestinal bleeding in the elderly. World J Gastrointest Endosc. 2010;2:147–54.
2. Marion Y, Lebreton G, Le Pennec V, Hourna E, Viennot S, Alves A. The management of lower gastrointestinal bleeding. J Visc Surg. 2014;151:191–201.
3. Dix FP, Titi M, Al-Khaffaf H. The isolated internal Iliac artery aneurysm—a review. Eur J Vasc Endovasc Surg. 2005;30:119–29.
4. Tsai KT, Lin PJ, Changchien CR, Tsai FC, Hsieh HC. Internal iliac artery aneurysmo-rectal fistula associated with multiple aortoiliac aneurysms. Changgeng Yi Xue Za Zhi. 1997;20(3):226–31 (PMID: 9397615).
5. Tin K, Venugopal S, Rao A, Mayer I, Rahmani R. Pseudoaneurysm of the internal iliac artery and iliorectal fistula causing massive lower colonic bleeding. Am J Gastroenterol. 2014;109:S205.