We report an unusual case of profuse, sporadic hemorrhage from a chronically infected perineal wound after an abdominoperineal resection. Surgical exploration and angiography on two occasions failed to identify the source of bleeding. A pseudoaneurysm of the internal iliac artery was eventually identified with a provocative angiogram using tissue plasminogen activator. This aneurysm was successfully treated with embolization with coils.
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Nunoo-Mensah, J.W., Ritter, M.P., Wasserberg, N. et al. Pseudoaneurysm of the Inferior Gluteal Artery: An Unusual Complication After Abdominoperineal Resection for Rectal Cancer. Report of a Case. Dis Colon Rectum 50, 115–117 (2007). https://doi.org/10.1007/s10350-006-0742-8
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DOI: https://doi.org/10.1007/s10350-006-0742-8