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Graft-appendiceal fistula treated with a rifampicin-silver in-situ graft
Quirine M J van der Vliet1, Paul Berger, Gert Jan De Borst
1Department of Vascular Surgery, University Medical Center Utrecht , Utrecht, The Netherlands .
Background:
We report a 52-year-old male presenting with a graft-appendiceal fistula four years after placement of an aorto-bifemoral Dacron prosthesis.
Case Report:
After appendectomy and total graft removal, the patient was treated with an in-situ repair using a rifampicin-silver graft. This kind of repair has only been reported in an animal study.
Results:
This infected aortic graft was treated successfully with a rifampicin-silver graft with a follow-up of 15 months without complications.
Conclusion:
In-situ repair of a graft-appendiceal fistula with a rifampicin-silver graft seems a promising strategy. The long-term outcome needs to be studied.
