일차성 장골동맥-결장루에 의한 하부 위장관출혈
Arterio-enteric fistula is a very rare cause of massive lower gastrointestinal hemorrhage. We report here on a case of massive hematochezia caused by iliac arterio-colic fistula in a 60-year-old woman who had a recent history of spinal surgery for herniated nucleus pulposus. Abdomen computed tomogra...
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Veröffentlicht in: | The Korean journal of gastroenterology 2010-08, Vol.56 (2), p.113 |
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container_title | The Korean journal of gastroenterology |
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creator | 김영일 Young Il Kim 박선영 Seon Young Park 기원주 Won Joo Ki 기호석 Ho Seok Ki 윤경원 Kyoung Won Yoon 김현수 Hyun Soo Kim 최성규 Sung Kyu Choi 류종선 Jong Sun Rew |
description | Arterio-enteric fistula is a very rare cause of massive lower gastrointestinal hemorrhage. We report here on a case of massive hematochezia caused by iliac arterio-colic fistula in a 60-year-old woman who had a recent history of spinal surgery for herniated nucleus pulposus. Abdomen computed tomography showed the extravasation of radiocontrast media from right iliac artery encased by an intraabdominal abscess into the adjacent dilatated colon. Also, diagnostic angiography revealed the active extravasation of radiocontrast media via a fistula between right iliac artery and colon. Although successful endovascular exclusion of the fistula with stent graft and coils was performed, disseminated intravascular coagulation and multi-organ failure were developed. (Korean J Gastroenterol 2010;56:113-116) |
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We report here on a case of massive hematochezia caused by iliac arterio-colic fistula in a 60-year-old woman who had a recent history of spinal surgery for herniated nucleus pulposus. Abdomen computed tomography showed the extravasation of radiocontrast media from right iliac artery encased by an intraabdominal abscess into the adjacent dilatated colon. Also, diagnostic angiography revealed the active extravasation of radiocontrast media via a fistula between right iliac artery and colon. Although successful endovascular exclusion of the fistula with stent graft and coils was performed, disseminated intravascular coagulation and multi-organ failure were developed. 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We report here on a case of massive hematochezia caused by iliac arterio-colic fistula in a 60-year-old woman who had a recent history of spinal surgery for herniated nucleus pulposus. Abdomen computed tomography showed the extravasation of radiocontrast media from right iliac artery encased by an intraabdominal abscess into the adjacent dilatated colon. Also, diagnostic angiography revealed the active extravasation of radiocontrast media via a fistula between right iliac artery and colon. Although successful endovascular exclusion of the fistula with stent graft and coils was performed, disseminated intravascular coagulation and multi-organ failure were developed. 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ispartof | The Korean journal of gastroenterology, 2010-08, Vol.56 (2), p.113 |
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source | KoreaMed Synapse; DOAJ Directory of Open Access Journals; KoreaMed Open Access; EZB-FREE-00999 freely available EZB journals |
subjects | Angiography Arterio-colic fistula Gastrointestinal bleeding |
title | 일차성 장골동맥-결장루에 의한 하부 위장관출혈 |
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