Hypogastric Artery-Colonic Fistula after Coil Embolization of Left Hypogastric Artery Aneurysm

Atbin Doroodchi, Mrinal Shukla, Manuel Ramirez, Gautam Agarwal

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)599.e11-599.e14
JournalAnnals of Vascular Surgery
Volume76
DOIs
StatePublished - Oct 2021
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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