Iliac arterial-enteric fistulas occurring after pelvic irradiation

John T. Vetto, Steven C. Culp, Thomas B. Smythe, Alfred E. Chang, William F. Sindelar, Paul H. Sugarbaker, Howard A. Heit, Joseph M. Giordano, Louis Kozloff

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

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 languageEnglish (US)
Pages (from-to)643-647
Number of pages5
JournalSurgery
Volume101
Issue number5
StatePublished - May 1987
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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