Lower gastrointestinal bleeding due to primary ilioenteric fistula

Fuméry, Mathurin; Duchmann, Jean-Christophe; Andary, Raymond; Eoche, Matthieu; Chavance, Marthe; Bourgeois, Morgane; Dupas, Jean Louis

doi:10.1007/s00261-012-9893-3

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…Primary vascular-enteric fistulae are most often related to spontaneous erosion of the aneurysm into the digestive tract. They occur commonly between the aorta and oesophagus or duodenum and are very rare between the iliac artery and rectum 4. These fistulae can leak causing catastrophic bleeding.…”

Section: Discussionmentioning

confidence: 99%

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Lower gastrointestinal bleeding in the elderly: a rare aetiology masquerading as a diverticular bleed

et al. 2016

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Bleeding per rectum is a relatively common acute surgical presentation. Common causes include diverticular disease, colitis, haemorrhoids, polyps, etc. An 83-year-old man with a history of recurrent rectosigmoid diverticulitis and bilateral internal iliac artery aneurysms for 2 years presented with rectal bleeding. He was suspected to have a diverticular bleed based on history and examination. A CT scan revealed a large haematoma adjacent to the right isolated internal iliac artery aneurysm (IIIAA) almost indistinguishable from the adjacent rectosigmoid, consistent with a ruptured IIIAA and an ileorectal fistula. The fistula was of a primary vascular enteric type and was accentuated by the inflammation arising from the diverticulitis. Hence, presence of more common or apparently obvious causes should not deter clinicians from thoroughly investigating the case. Rare causes should be kept in mind while dealing with common acute presentations, especially in elderly patients with multiple comorbidities.

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Section: Discussionmentioning

confidence: 99%

“…CT scan during an active bleeding episode may reveal contrast leaking within the bowel, as was seen in this case. Even so, only a minority (<40%) are diagnosed prior to emergency surgery and the mortality rate in the postoperative period can be almost 50% 4 8 9…”

Section: Discussionmentioning

confidence: 99%

Lower gastrointestinal bleeding in the elderly: a rare aetiology masquerading as a diverticular bleed

et al. 2016

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“…[10] Some literatures mentioned bleeding in the context of arterioenteric fistula or ilioenteric fistula. [11,12] There was rarely literature discussing the rate, the etiology, the risk factors, and the prognosis of intra-abdominal bleeding in ECF patients, leaving less experience to deal with this sort of patients and making early preventive interventions a tough problem.…”

Section: Introductionmentioning

confidence: 99%

Risk factor and outcome for intra-abdominal bleeding in patients with enterocutaneous fistula

Ren²,

Liu³

et al. 2016

Medicine

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Intra-abdominal bleeding is a major and lethal complication in patients with enterocutaneous fistula (ECF) while few studies are involved in this aspect. In the present study, we aimed to investigate the risk factors and assessed the outcome for intra-abdominal bleeding in patients with ECF.A retrospective study was performed from October 2013 to October 2015. Medical records of 67 ECF patients with intra-abdominal bleeding and 134 ECF patients without intra-abdominal bleeding matched as controls were reviewed and analyzed. Logistic regression was performed to evaluate the risk factor of intra-abdominal bleeding in patients with ECF. Outcomes such as mortality, hospital durations, and cost were compared between ECF patients with or without intra-abdominal bleeding.A total of 67 ECF patients suffered intra-abdominal bleeding during hospitalization. In the logistic regression, duodenum fistula (odds ratio [OR]: 3.899, 95% confidence interval [CI]: 1.204–12.634, P = 0.023), hemorrhage history (OR: 15.846 95% CI: 5.779–43.448, P < 0.001), and acute kidney injury (OR: 6.350 95% CI: 2.033–19.836, P = 0.001) were independent risk factors for intra-abdominal bleeding in patients with ECF. In addition, the bleeding patients showed a significantly higher mortality rate, prolonged total parenteral nutrition days, hospital and intensive care unit durations, more complications, and increased cost.We revealed the 3 risk factors for intra-abdominal bleeding among ECF patients. Besides, intra-abdominal hemorrhage was associated with a poor prognosis in patients with ECF.

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Iliac Artery-Uretero-Colonic Fistula Presenting as Severe Gastrointestinal Hemorrhage and Hematuria: A Case Report and Review of the Literature

Policha

Baldwin

Mussa

et al. 2015

Annals of Vascular Surgery

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Lower gastrointestinal bleeding due to primary ilioenteric fistula

Cited by 3 publications

References 5 publications

Lower gastrointestinal bleeding in the elderly: a rare aetiology masquerading as a diverticular bleed

Lower gastrointestinal bleeding in the elderly: a rare aetiology masquerading as a diverticular bleed

Risk factor and outcome for intra-abdominal bleeding in patients with enterocutaneous fistula

Iliac Artery-Uretero-Colonic Fistula Presenting as Severe Gastrointestinal Hemorrhage and Hematuria: A Case Report and Review of the Literature

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