The patient is a 65-year-old male who was treated surgically for adenocarcinoma of the mid-rectum with infiltration of the bladder, entailing a Hartmann-type resection, Bricker urinary diversion and cystoprostatectomy. During surgery, the origin of the left external iliac artery was accidentally severed, which was repaired with end-to-end anastomosis and ligation of the left hypogastric artery. The patient was re-hospitalized 3 months later due to episodes of rectal hemorrhage and bleeding though the urinary stoma. CT angiography revealed a pseudoaneurysm of the left external iliac artery with an iliac-enteric fistula (Fig. 1). The intraoperative angiography confirmed this finding, which was resolved with the placement of a self-expandable coated stent (Fig. 2).
Diagnosis: iliac-enteric fistula
Please cite this article as: Busto Suárez S, Zanabili Al-Sibbai A, Revuelta Mariño L, Alonso Pérez M. Fístula íleo-entérica secundaria a cirugía de cáncer de recto infiltrante. Cir Esp. 2017;95:230.
