Copyright
©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Dec 14, 2006; 12(46): 7549-7550
Published online Dec 14, 2006. doi: 10.3748/wjg.v12.i46.7549
Published online Dec 14, 2006. doi: 10.3748/wjg.v12.i46.7549
Rupture of abdominal aortic aneurysm into sigmoid colon: A case report
Murat Aksoy, Hakan Yanar, Korhan Taviloglu, Cemalettin Ertekin, Kemal Ayalp, Fatih Yanar, Recep Guloglu, Mehmet Kurtoglu, Istanbul University, Istanbul Faculty of Medicine, Trauma and Emergency Surgery Service, Capa-Istanbul, Turkey
Author contributions: All authors contributed equally to the work.
Correspondence to: Murat Aksoy, MD, Istanbul University, Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Capa 34390, Istanbul, Turkey. maksoy@turk.net
Telephone: +90-212-4142000-32418 Fax: +90-212-5331882
Received: June 16, 2006
Revised: November 6, 2006
Accepted: November 14, 2006
Published online: December 14, 2006
Revised: November 6, 2006
Accepted: November 14, 2006
Published online: December 14, 2006
Abstract
Primary aorto-colic fistula is rarely reported in the literature. Although infrequently encountered, it is an important complication since it is usually fatal unless detected. Primary aorto-colic fistula is a spontaneous rupture of abdominal aortic aneurysm into the lumen of the adjacent colon loop. Here we report a case of primary aorto-colic fistula in a 54-year old male. The fistulated sigmoid colon was repaired by end-to-end anastomosis. Despite inotropic support, the patient died of sepsis and multiorgan failure on the first postoperative day.
Keywords: Aortocolic fistula, Abdominal aort aneurysm, Rupture, Lower gastrointestinal bleeding, Aneurysm