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Pelvic radiation therapy as a potential risk factor for ischemic colitis complicating abdominal aortic reconstruction
África Duque Santos1, Andrés Reyes Valdivia1, Margarita Martín2
1Department of Vascular and Endovascular Surgery, Ramón y Cajal University Hospital, Madrid, Spain.
Abstract:
A 78-year-old man with a 56-mm juxtarenal aneurysm and previous pelvic radiotherapy for prostate cancer (3 years earlier) who was disease free during follow-up received elective aortoaortic bypass suprarenal clamping through a transperitoneal approach. After the patient experienced initial abdominal pain and diarrhea, a computed tomography scan showed mild sigmoid inflammation, and the patient received conservative treatment. One month after discharge, the patient underwent urgent laparotomy and bowel and sigmoid resection for an enterocutaneous fistula. At 6-month follow-up, he has recovered, although a bowel stoma remains.
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