Never reported complication of open right hemicolectomy-right external iliac artery pseudoaneurysm with arterio colonic fistulae presenting as delayed postoperative anastomotic bleeding: a case report and review of literature

Authors

  • Altaf Gauhar Haji Department of General and GI Surgery, George Elliot NHS Hospital, England, UK
  • Ali Elhassan Department of General and GI Surgery, George Elliot NHS Hospital, England, UK
  • Aravindan Narayanan Department of General and GI Surgery, George Elliot NHS Hospital, England, UK
  • Bala Piramanayagam Department of General and GI Surgery, George Elliot NHS Hospital, England, UK
  • Srinivasamurthy Devraj Department of Vascular Surgery, UHCW, NHS Hospital, England, UK
  • Hassan Abedi Farhad Syed Department of Interventional Radiology, UHCW, NHS Hospital, England, UK

DOI:

https://doi.org/10.18203/2349-2902.isj20230032

Keywords:

Anastomosis, Bleeding, Iatrogenic fistulae, Stent graft

Abstract

Anastomotic bleeding is well known complication after gastrointestinal resection and anastomosis procedures.  The percentage of patients experiencing this complication is between 0.5% to 9.6%. Delayed postoperative anastomotic bleeding is even more rare, herein, we report a case of pseudoaneurysm of right external iliac artery with arterio-colonic fistulae in a patient who underwent open right hemicolectomy and presented as delayed postoperative anastomotic bleeding-a complication never reported before related to this procedure.

References

Mitchell RN, Schoen FJ. Kumar: Robbins and Cotran Pathologic Basis of Disease. Philadelphia: Saunders Elsevier. 2009;506.

Sueyoshi E, Sakamoto I, Nakashima K, Minami K, Hayashi K. Visceral and peripheral arterial pseudoaneurysms. AJR Am J Roentgenol. 2005;185(3):741-9.

Wolfgang GL, Barnes WT, Hendricks GL., Jr False aneurysm of the profunda femoris artery resulting from nail-plate fixation of intertrochanteric fracture. A case report and review of the literature. Clin Orthop Relat Res. 1974;100:143-50.

Hewes JC, Baroni ML, Krissat J, Bhattacharya S. An unusual presentation of hepatic aneurysm as a complication of laparoscopic cholecystectomy. Eur J Surg. 2002;168:566-8.

Saad NE, Saad WE, Davies MG, Waldman DL, Fultz PJ, Rubens DJ. Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics 2005;1:S17389.

Zhao WT, Hu FL, Li YY, Li HJ, Luo WM, Sun F. Use of a transanal drainage tube for prevention of anastomotic leakage and bleeding after anterior resection for rectal cancer. World journal of surgery. 2013;37(1):227-32.

Noguchi T, Emoto S, Kawai K, Nishikawa T, Shuno Y, Sasaki K, et al. Anastomotic bleeding following ileocolic end-to-side anastomosis using a circular stapler: incidence and risk factors. Surg Today. 2020;50(11):1368-74.

Eltonsy JH, Gaudet S, Jose JC. Incidence and risk factors for anastomotic bleeding in lower gastrointestinal surgery. BMC Res Notes. 2019;12(1):378.

Mari G, Costanzi A, Crippa J, Berardi V, Santurro L, Gerosa M, et al. Endoscopic Treatment of Anastomotic Bleeding in Laparoscopic Colorectal Surgery. Chirurgia. 2019;114(2):295-9.

Adam G, Tas S, Cinar C, Bozkaya H, Adam F, Uysal F, et al. Endovascular treatment of delayed hemorrhage developing after the pancreaticoduodenectomy procedure. Wiener Klinische Wochenschrift. 2014;126(13-14):416-21.

Kim KO, Kim TN, Kim SB, Lee JY. Characteristics of delayed hemorrhage after endoscopic sphincterotomy. J Gastroenterol Hepatol. 2010;25(3):532-8.

Itatani K, Miyata T, Komiyama T, Shigematsu K, Nagawa H. An ex-situ arterial reconstruction for the treatment of an infected suprarenal abdominal aortic aneurysm involving visceral vessels. Ann. Vasc. Surg. 2007;21:380-83.

Randle Voyles C, Tucker RD. Safe use of electrosurgical devices during minimally invasive surgery. In: Wetter PA, ed. Prevention and Management of Laparoendoscopic Surgical Complications, 2nd Edition Miami, Florida, USA: Society of Laparoendoscopic Surgeons, Inc., 2005.

Tucker RD, Volyes CR. Laparoscopic electrosurgical complications and their prevention. AORN. 1995;62:49-78.

Saltzstein EC, Schwartz SF, Levinson CJ. Perforation of the small intestine secondary to laparoscopic tubal cauterization. Ann Surg. 1973;178:34-7.

Levy BS, Soderstrom RM, Dail DH. Bowel injuries during laparoscopy: gross anatomy and histology. J Reprod Med. 1985;30:168-72.

Reich H. Laparoscopic bowel injury. Surg Laparosc Endosc. 1992;2:74-8.

Núñez D, Jr, Rivas L, McKenney K. Helical CT of traumatic arterial injuries. AJR Am J Roentgenol. 1998;170:1621-6.

Sueyoshi E, Sakamoto I, Nakashima K, Minami K, Hayashi K. Visceral and peripheral arterial pseudoaneurysms. AJR Am. J. Roentgenol. 2005;185:741-9.

Moulakakis KG, Alexiou VG, Sfyroeras GS, Kakisis J, Lazaris A, Vasdekis SN, et al. Endovascular management of infected iliofemoral pseudoaneurysms - a systematic review. Vasa. 2017;46:5-9.

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Published

2023-01-17

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Section

Case Reports