
Rupture of abdominal aortic aneurysm into sigmoid colon: A case report
Author(s) -
Murat Aksoy
Publication year - 2006
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v12.i46.7549
Subject(s) - medicine , fistula , sigmoid colon , surgery , abdominal aortic aneurysm , anastomosis , lumen (anatomy) , complication , sepsis , aneurysm , aortoenteric fistula , radiology , rectum
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.