Lower gastrointestinal bleeding as a result of fistula between the iliac artery and sigmoid colon in patient with advanced testicular cancer - Abstract

Fistula between arteries and the gastrointestinal tract are a rare cause of gastrointestinal bleeding, but potentially fatal.

The recognition and early treatment can modify the patient prognosis. We report a case of a patient with previous surgery for seminoma of cryptorchidic testicle, with massive lower gastrointestinal bleeding. We performed the diagnosis and surgical treatment of the fistula between left external iliac artery and sigmoid colon. The patient was successfully treated by external iliac artery ligation and left colectomy.

Written by:
dos Santos VP, Razuk ÁF, Júnior VC, Caffaro RA.   Are you the author?
Instituto de Humanidades Artes e Ciências Professor Milton Santos, Bahia Federal University, Bahia, Brazil.

Reference: Int Braz J Urol. 2013 Sep-Oct;39(5):747-50; discussion 751.
doi: 10.1590/S1677-5538.IBJU.2013.05.18


PubMed Abstract
PMID: 24267117

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