Abstract
Fistulas from the iliac artery to the bowel constitute a condition that is often lethal. Excluding fistulas related to vascular grafts, a review of previously reported cases shows that they are most often due to atherosclerotic iliac aneurysms. Three unusual cases of this condition that occurred after high-dose pelvic irradiation for treatment of cancer are presented; in no case was recurrent tumor evident. These cases suggest that high-dose pelvic irradiation can predispose to the formation of iliac arterial-enteric fistulas, particularly if sepsis or inflammation develops. The definitive surgical management of these fistulas entails bowel resection, arterial ligation, and extra-anatomic bypass.
Original language | English (US) |
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Pages (from-to) | 643-647 |
Number of pages | 5 |
Journal | Surgery |
Volume | 101 |
Issue number | 5 |
State | Published - May 1987 |
Externally published | Yes |
ASJC Scopus subject areas
- Surgery