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  • Title: [Aortoenteric fistula to the sigmoid colon complicated with entero-grafto-cutaneous fistula].
    Author: Bognár G, Sugár I, Laczkó A, Ondrejka P, Ledniczky G.
    Journal: Magy Seb; 2009 Feb; 62(1):34-8. PubMed ID: 19218168.
    Abstract:
    We report a case of a 62-year-old man who presented to the emergency department with acute rectal bleeding. The patient had previous aortoiliac surgery with the utilization of an aorto-bifemoral vascular graft. Diagnosis of secondary aortoenteric fistula was made between the aortoiliac graft and sigmoid colon. This fistula had an entero-cutaneous component. After exploratory laparotomy resection of the sigma, extirpation of the entero-cutaneous fistula, excision of the graft, oversewing of the aortic stump, and extra-anatomical crossover bypass were successfully performed. This study reports a rare type of secondary aortoenteric fistula to the sigmoid colon complicated with an entero-grafto-cutaneous component and it describes an unusual and successful surgical treatment.
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