Case Report
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
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
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
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