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Catastrophic iatrogenic abdominal aorta haemorrhage during anterior resection.
BMJ Case Rep
January 2025
General Surgery, Betsi Cadwaladr University Health Board, Bangor, UK
A woman in her 70s with hypertension, breast cancer and diverticulosis underwent laparoscopic anterior resection for a tubule-villous adenoma, converted to open Hartmann's with aorto-bi-iliac bypass due to a vascular injury. Intraoperative complications included haem-o-lok penetration of the calcified aorta, necessitating vascular team intervention. Postoperative issues included bilateral popliteal artery emboli requiring embolectomy and fasciotomy, and a parastomal abscess.
View Article and Find Full Text PDFAortoiliac graft-enteric fistula presenting as gastrointestinal hemorrhage: A report on a complex case management.
Clin Case Rep
August 2023
Department of Academic Surgery, Leeds Institute of Medical Research St James's University Hospital Leeds UK.
Key Clinical Message: Iliac artery-enteric fistula is a rare cause of lower GI bleeding and can cause life-threatening consequences. A high degree of clinical suspicion is needed in patients with previous aortic surgery to allow early multidisciplinary intervention.
Abstract: This case study discusses the staged management of a 78-year-old patient presenting with life-threatening lower gastrointestinal (GI) bleeding secondary to an aortoiliac graft-enteric fistula (GEF) into the sigmoid colon on the background of an adenocarcinoma and diverticular disease.
First case of aorto-bi-iliac endograft thrombotic infection by : A case report.
Exp Ther Med
August 2022
Division of Vascular Surgery, 'Campus Bio-Medico' University of Rome, I-00128 Rome, Italy.
may cause serious vascular and graft infections. In the present case report, a 71-year-old man underwent partial prosthetic endograft replacement due to high-flow endoleak and limb occlusion. Following surgery, a multiple empiric antibiotic regime was initiated due to fever, malaise, abdominal tenderness and signs of an acute abdomen; however, in spite of this, the clinical condition of the patient worsened.
View Article and Find Full Text PDF: an emerging cause of vascular graft infection.
BMJ Case Rep
February 2021
ID, Mayo Clinic, Rochester, Minnesota, USA
an emerging pathogen, was first described in 2016, and has been implicated in abdominal, breast and spinal abscesses in a limited number of cases. Being a fastidious organism, it is primarily identified with molecular methods. With the incorporation of broad-range PCR testing in clinical diagnostics, has been increasingly reported in the literature.
View Article and Find Full Text PDFStaged in situ aorto-iliac hybrid technique: an original technique to treat complex juxtarenal and iliac aneurysms.
Int Angiol
December 2020
Unit of Vascular and Endovascular Surgery, Department of Surgery, San Giovanni di Dio Hospital, Florence, Italy.
Background: To report a novel staged hybrid technique to treat complex juxtarenal abdominal aortic aneurysm (JAAA) associated with at least one iliac artery aneurysm (IA) with no adequate distal fixation zone.
Methods: The novel technique herein described has two main "staged" steps. The first step consists in creating an adequate distal fixation zone by endovascular means; after hypogastric embolization an iliac stent-graft has placed from 5 mm above the aortic bifurcation to the external iliac artery.
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