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

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    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

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    ASJC Scopus subject areas

    • Surgery

    Cite this

    Vetto, J. T., Culp, S. C., Smythe, T. B., Chang, A. E., Sindelar, W. F., Sugarbaker, P. H., Heit, H. A., Giordano, J. M., & Kozloff, L. (1987). Iliac arterial-enteric fistulas occurring after pelvic irradiation. Surgery, 101(5), 643-647.