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Colocutaneous fistula complicating therapeutic mesenteric embolisation
R A M Camprodon1, S Jacob, M L George
1Department of Surgery, King's College Hospital, London, UK. ricardcamprodon@yahoo.es
Annals of the Royal College of Surgeons of England
|August 11, 2007
Summary
Percutaneous embolotherapy can treat colonic bleeding but risks bowel damage. A rare case shows this damage can cause a colocutaneous fistula, a new complication.
Area of Science:
- Interventional Radiology
- Gastroenterology
- Colorectal Surgery
Background:
- Percutaneous embolotherapy is a key treatment for massive colonic hemorrhage.
- Segmental colonic ischemia is a known complication of this procedure.
Observation:
- A patient undergoing percutaneous embolotherapy developed distal segmental colonic ischemia.
Findings:
- The colonic ischemia progressed to a colocutaneous fistula.
- This complication has not been previously reported in medical literature.
Implications:
- Highlights a rare but severe complication of colonic embolotherapy.
- Suggests the need for vigilance and potentially new management strategies for ischemic complications.
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