Abstract
A 59-year-old female was admitted with massive hematemesis and melena. A hematological examination revealed that the red blood cell count was 1.31×106/mm3, Hb 3.4 g/dl, and Hct 12%. No source of bleeding was found by an emergency endoscopic examination of the esophagus, stomach and duodenum, or by superior mesenteric angiography. At laparotomy a right common iliac arterio-intestinal fistula was found. The microscopic examination of this part of the ileum, including the fistula, revealed the presence of tubercular peritonitis. An extra-anatomic bypass graft using a prosthetic graft was performed between the left and right femoral arteries because reconstruction of the right common iliac artery was impossible.
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Iwamoto, I., Takechi, Y., Tomoe, H. et al. Right common iliac arterio-intestinal fistula caused by tubercular peritonitis: Report of a case. Surg Today 23, 78–80 (1993). https://doi.org/10.1007/BF00309005
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DOI: https://doi.org/10.1007/BF00309005