Journal «Angiology and Vascular Surgery» • 

2000 • VOLUME 6 • №1

FALSE ANEURYSM, SEPSIS AND SMALL INTESTINAL FISTULA CAUSED BY ILEUM AND ILIAC ARTERY DAMAGE BY A FISH BONE

Miroliubov B.M., Karpukhin O.J., Korotkov A.A.
Department of Surgery, Therapeutic Faculty, Kazan State Medical University,
Kazan, Russia

A case of combined urgent arterial pathology and generalized suppurative infection is presented. Acute false aneurysm of right external iliac artery had developed as a result of ileum damage caused by swallowed fish-bone. A surgical intervention was carried out after preoperative treatment: false aneurysm dissection, aneurysmal and abscess cavity drainage, cross femoro-femoral left-to-right allografting.On the second postoperative day a small intestinal fistula developed in the right iliac area. The following procedure was fulfilled: laparotomy, single-tube plane ileostomy, abdominal drainage. In postoperative period small intestinal fistula has closed, ileostoma and bypass were patent. Six months after surgery natural intestinal passage was restored and the patient has been cured.

KEY WORDS: ileum trauma, iliac artery false aneurysm, sepsis.

P. 122

« Back

Angiologia.ru - portal for professionals
VLAANT
Lancet
HI-TECHNOLOGY MEDICINE