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Inicio Cirugía Española (English Edition) Ileo-Enteric Fistula Caused by an Infiltrating Rectal Cancer
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Vol. 95. Issue 4.
Pages 230 (April 2017)
Vol. 95. Issue 4.
Pages 230 (April 2017)
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DOI: 10.1016/j.cireng.2016.04.003
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Ileo-Enteric Fistula Caused by an Infiltrating Rectal Cancer
Fístula íleo-entérica secundaria a cirugía de cáncer de recto infiltrante
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Sara Busto Suárez
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sarabusto9@gmail.com

Corresponding author.
, Amer Zanabili Al-Sibbai, Livia Revuelta Mariño, Manuel Alonso Pérez
Servicio de Angiología y Cirugía Vascular, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
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The patient is a 65-year-old male who was treated surgically for adenocarcinoma of the mid-rectum with infiltration of the bladder, entailing a Hartmann-type resection, Bricker urinary diversion and cystoprostatectomy. During surgery, the origin of the left external iliac artery was accidentally severed, which was repaired with end-to-end anastomosis and ligation of the left hypogastric artery. The patient was re-hospitalized 3 months later due to episodes of rectal hemorrhage and bleeding though the urinary stoma. CT angiography revealed a pseudoaneurysm of the left external iliac artery with an iliac-enteric fistula (Fig. 1). The intraoperative angiography confirmed this finding, which was resolved with the placement of a self-expandable coated stent (Fig. 2).

Fig. 1
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Fig. 2
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Diagnosis: iliac-enteric fistula

Please cite this article as: Busto Suárez S, Zanabili Al-Sibbai A, Revuelta Mariño L, Alonso Pérez M. Fístula íleo-entérica secundaria a cirugía de cáncer de recto infiltrante. Cir Esp. 2017;95:230.

Copyright © 2016. AEC
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