Ruptured internal iliac artery aneurysm presenting with massive lower gastro intestinal haemorrhage

Authors

  • Mohim Thakur Department of Surgical Gastroenterology, Minimal Access and Bariatric Surgery, BL Kapur Memorial Hospital, New Delhi, India
  • Ravinder Vats Department of Surgical Gastroenterology, Minimal Access and Bariatric Surgery, BL Kapur Memorial Hospital, New Delhi, India
  • Deep Goel Department of Surgical Gastroenterology, Minimal Access and Bariatric Surgery, BL Kapur Memorial Hospital, New Delhi, India
  • V. P. Bhalla Department of Surgical Gastroenterology, Minimal Access and Bariatric Surgery, BL Kapur Memorial Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20163624

Keywords:

Internal iliac artery aneursm, LGI bleed, Ruptured

Abstract

A patient presenting with massive Lower Gastro Intestinal Haemorrhage (LGIH) in the tropics is most likely to be a young individual commonly bleeding from nonspecific or enteric ulcers. In contrast the western patient with massive LGIH is likely to be an elderly individual bleeding from diverticulosis or angiodysplasia. Recently we managed a patient with a ruptured large pararectal aneurysm arising from the right internal iliac artery presenting with an exsanguinating rectal bleed. 

References

Govil D, Sahni P. Lower Gastrointestinal Haemorrhage. GI Surgery Annual. 1994;93-103.

Anand AC, Patnaik PK, Bhalla VP. Massive Lower Intestinal Bleeding-A Decade of Experience. Trop Gastroenterol. 2001;22:131-4.

Katoh J, Shindo S, Kina S. Rupture of an isolated internal iliac artery aneurysm into the rectum: report of a case. Surg Today. 1995;25:554-6.

Longaker CJ, Bubrick MP, Kiser JC. Arteriocolic fistula: an unusual cause of gastrointestinal tract bleeding. Dis Colon Rectum. 1977;20:135-8.

Parry DJ, Kessel D, Scott D. Simplifying the internal iliac artery aneurysm. Ann R Coll Surg Engl. 2001;83:302-8.

Krupskietal. Contemporary management of isolated iliac aneurysms. J Vas Surg. 1998;28:1-12.

Dobrin PB. Mechanics of normal and diseased blood vessels. Ann Vasc Surg. 1988;2:283-94.

Bolin T, Lund K, Skau T. Isolated aneurysms of the iliac artery: what are the chances of rupture? Eur J Vasc Surg. 1988;2:213-5.

Mori M, Sakamoto I, Morikawa M, Kohzaki S, Makino K, Matsunaga N. Transcatheter embolisation of internal iliac artery aneurysms. J Vasc Interv Radiol. 1999;10:591-7.

Agaoglu N, Arslan MK, Dinç H. A rare cause of massive rectal bleeding: internal iliac artery aneurysm. Acta Chir Belg. 2006;106(1):104-6.

Palacios A, Massó P, Osorio L. Hematuria after ureteral-iliac aneurysm rupture Arch Esp Urol. 2006;59(3):287-9.

Katoh J, Shindo S, Kina S. Rupture of an isolated internal iliac artery aneurysm into the rectum: report of a case. Surg Today. 1995;25(6):554-6.

Li SC, Burton FR, Burton MS, Hallett J. The endoscopic diagnosis of iliac colonic fistula and review of literature. Am J Gastroenterol. 1993;88(2):307-10.

Downloads

Published

2016-12-10