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
Similar content being viewed by others
References
COOPER A.Lectures on the Principles and Practice of Surgery, Volume 2. London: Underwood, 1825, pp 34–35.
UMPLEBY HC. Secondary arterio-enteric fistulae: a surgical challenge.Br J Surg 1987;74:256–259.
SWEENEY MS, GADACZ TR. Primary aortoduodenal fistula: manifestation, diagnosis, and treatment.Surgery 1984;96(3):492–497.
BROCK RC. Aortic homografting.Guy's Hospital Reference 1953;102:204.
CONNOLLY JE. Aortoenteric fistula.Ann Surg 1981;194:402–412.
STONEY FJ.Endarterectomy in Vascular Surgery (3rd ed). In: RUTHERFORD RB (ed). Philadelphia: W.B. Saunders, 1989, pp 358–359.
HUSTED J. Angiographic management of arteriocolic fistulae.Cardiovasc Intervent Radiol 1986;9:158–160.
VETTO JT. Iliac arterial-enteric fistulas occurring after pelvic irradiation.Surgery 1987;101:643–673.
O'HARA PJ. Surgical management of infected abdominal aortic grafts: review of a 25-year experience.J Vasc Surg 1986;3:725–731.
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.
BUNT TJ. Synthetic vascular graft infections. II. Graft-enteric erosions and graft-enteric fistulas.Surgery 1985;94:1–9.
BUSUTTIL RW, REES W, BAKER JD, et al. Pathogenesis of aortoduodenal fistula: experimental and clinical correlates.Surgery 1979;85(1):1–13.
Author information
Authors and Affiliations
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
Issue Date:
DOI: https://doi.org/10.1007/BF02133054