Skip to main content
Log in

Iliac-enteric fistula following Dacron patch angioplasty

  • Case Reports
  • Published:
Annals of Vascular Surgery

Abstract

We report a patient who developed fistulization between the jejunum and a Dacron patch placed at the bifurcation of the right common iliac artery during endarterectomy 14 years previously. The patient was successfully managed by resection of the iliac bifurcation and a segment of the involved bowel. While arterio-enteric fistulae typically involve prosthetic grafts, they may occur in association with artificial materials used to patch endarterectomy sites; hence, knowledge of technical detail is important in the diagnosis of this complication following endarterectomy. (Ann Vasc Surg

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. COOPER A.Lectures on the Principles and Practice of Surgery, Volume 2. London: Underwood, 1825, pp 34–35.

    Google Scholar 

  2. UMPLEBY HC. Secondary arterio-enteric fistulae: a surgical challenge.Br J Surg 1987;74:256–259.

    PubMed  Google Scholar 

  3. SWEENEY MS, GADACZ TR. Primary aortoduodenal fistula: manifestation, diagnosis, and treatment.Surgery 1984;96(3):492–497.

    PubMed  Google Scholar 

  4. BROCK RC. Aortic homografting.Guy's Hospital Reference 1953;102:204.

    Google Scholar 

  5. CONNOLLY JE. Aortoenteric fistula.Ann Surg 1981;194:402–412.

    PubMed  Google Scholar 

  6. STONEY FJ.Endarterectomy in Vascular Surgery (3rd ed). In: RUTHERFORD RB (ed). Philadelphia: W.B. Saunders, 1989, pp 358–359.

    Google Scholar 

  7. HUSTED J. Angiographic management of arteriocolic fistulae.Cardiovasc Intervent Radiol 1986;9:158–160.

    PubMed  Google Scholar 

  8. VETTO JT. Iliac arterial-enteric fistulas occurring after pelvic irradiation.Surgery 1987;101:643–673.

    PubMed  Google Scholar 

  9. O'HARA PJ. Surgical management of infected abdominal aortic grafts: review of a 25-year experience.J Vasc Surg 1986;3:725–731.

    Article  PubMed  Google Scholar 

  10. YEAGER RA, SASAKI TM, MC CONNELL DB, et al. Clinical spectrum of patients with infrarenal aortic grafts and gastrointestinal bleeding.Am J Surg 1987;153:459–461.

    Article  PubMed  Google Scholar 

  11. BUNT TJ. Synthetic vascular graft infections. II. Graft-enteric erosions and graft-enteric fistulas.Surgery 1985;94:1–9.

    Google Scholar 

  12. BUSUTTIL RW, REES W, BAKER JD, et al. Pathogenesis of aortoduodenal fistula: experimental and clinical correlates.Surgery 1979;85(1):1–13.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Robertson, G.A., Valente, J.F., Hunter, G.C. et al. Iliac-enteric fistula following Dacron patch angioplasty. Annals of Vascular Surgery 5, 467–469 (1991). https://doi.org/10.1007/BF02133054

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02133054

Key words

Navigation