Doroodchi A, Shukla M, Ramirez M, Agarwal G. Hypogastric Artery-Colonic Fistula after Coil Embolization of Left Hypogastric Artery Aneurysm.
Ann Vasc Surg 2021;
76:599.e11-599.e14. [PMID:
33508449 DOI:
10.1016/j.avsg.2020.12.010]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 11/25/2020] [Accepted: 12/01/2020] [Indexed: 11/28/2022]
Abstract
Coil migration into the colon is an extremely rare complication of aneurysm embolization and only three cases have been reported. Two of these cases were managed with resection of the involved colon and the remaining case was managed with serial imaging. We present a 70-year-old man who developed hematochezia 2 years after coil embolization of a ruptured left hypogastric artery aneurysm. The patient was successfully treated with diverting colostomy and endoscopic closure of the sigmoid colon defect. We present the only case report of the use of advanced endoscopy to treat endovascular coil migration.
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