Resection of iliac artery to sigmoid colon fistula in patient with prior bowel resection and endovascular aortic repair with hypogastric coiling

Expedient recognition of arterial-enteric fistulas is important in optimizing patient outcomes. The most commonly described aortoenteric fistula is between the abdominal aorta and third portion of the duodenum that overlies it. This has historically been reported as a rare complication of open aorti...

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Main Authors: Michael Chaney, MD, Nicholas Stevens, DO, Samuel Coster, DO, Matthew Welter, BS, David Minnick, DO, Saad Shebrain, MD
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428725000838
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author Michael Chaney, MD
Nicholas Stevens, DO
Samuel Coster, DO
Matthew Welter, BS
David Minnick, DO
Saad Shebrain, MD
author_facet Michael Chaney, MD
Nicholas Stevens, DO
Samuel Coster, DO
Matthew Welter, BS
David Minnick, DO
Saad Shebrain, MD
author_sort Michael Chaney, MD
collection DOAJ
description Expedient recognition of arterial-enteric fistulas is important in optimizing patient outcomes. The most commonly described aortoenteric fistula is between the abdominal aorta and third portion of the duodenum that overlies it. This has historically been reported as a rare complication of open aortic aneurysm repair but also has been seen in endovascular repairs. Herein described is a case of a 77-year-old male with history of endovascular aortic repair and left hypogastric coiling for aneurysm who presented with a much rarer form of fistula between the residual sigmoid colon, status-post sigmoidectomy for diverticulitis, and the left hypogastric artery.
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institution Kabale University
issn 2468-4287
language English
publishDate 2025-08-01
publisher Elsevier
record_format Article
series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj-art-96c3ce430d794332b87d51c00e76f9b72025-08-20T03:56:45ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-0111410180110.1016/j.jvscit.2025.101801Resection of iliac artery to sigmoid colon fistula in patient with prior bowel resection and endovascular aortic repair with hypogastric coilingMichael Chaney, MD0Nicholas Stevens, DO1Samuel Coster, DO2Matthew Welter, BS3David Minnick, DO4Saad Shebrain, MD5Department of Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI; Correspondence: Michael Chaney, MD, Western Michigan University, Homer Stryker MD School of Medicine, 1000 Oakland Dr, Kalamazoo, MI 49008Department of Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MIDepartment of Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MIDepartment of Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MIDivision of General Surgery, Bronson Methodist Hospital, Kalamazoo, MIDepartment of Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MIExpedient recognition of arterial-enteric fistulas is important in optimizing patient outcomes. The most commonly described aortoenteric fistula is between the abdominal aorta and third portion of the duodenum that overlies it. This has historically been reported as a rare complication of open aortic aneurysm repair but also has been seen in endovascular repairs. Herein described is a case of a 77-year-old male with history of endovascular aortic repair and left hypogastric coiling for aneurysm who presented with a much rarer form of fistula between the residual sigmoid colon, status-post sigmoidectomy for diverticulitis, and the left hypogastric artery.http://www.sciencedirect.com/science/article/pii/S2468428725000838Arterial-enteric fistulaColectomyEndovascular aortic repairExtra-anatomic bypassIliac aneurysm
spellingShingle Michael Chaney, MD
Nicholas Stevens, DO
Samuel Coster, DO
Matthew Welter, BS
David Minnick, DO
Saad Shebrain, MD
Resection of iliac artery to sigmoid colon fistula in patient with prior bowel resection and endovascular aortic repair with hypogastric coiling
Journal of Vascular Surgery Cases and Innovative Techniques
Arterial-enteric fistula
Colectomy
Endovascular aortic repair
Extra-anatomic bypass
Iliac aneurysm
title Resection of iliac artery to sigmoid colon fistula in patient with prior bowel resection and endovascular aortic repair with hypogastric coiling
title_full Resection of iliac artery to sigmoid colon fistula in patient with prior bowel resection and endovascular aortic repair with hypogastric coiling
title_fullStr Resection of iliac artery to sigmoid colon fistula in patient with prior bowel resection and endovascular aortic repair with hypogastric coiling
title_full_unstemmed Resection of iliac artery to sigmoid colon fistula in patient with prior bowel resection and endovascular aortic repair with hypogastric coiling
title_short Resection of iliac artery to sigmoid colon fistula in patient with prior bowel resection and endovascular aortic repair with hypogastric coiling
title_sort resection of iliac artery to sigmoid colon fistula in patient with prior bowel resection and endovascular aortic repair with hypogastric coiling
topic Arterial-enteric fistula
Colectomy
Endovascular aortic repair
Extra-anatomic bypass
Iliac aneurysm
url http://www.sciencedirect.com/science/article/pii/S2468428725000838
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