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Enteric fistulization of a common iliac vein aneurysm
Ghazi Laamiri1, Hazem Beji1, Hassen Touinsi1
1University of Tunis El Manar, Tunis, Tunisia; Department of General Surgery, Hospital Mohamed Taher Maamouri, Nabeul, Tunisia.
Journal of Visceral Surgery
|May 10, 2023
Insights
Iliac vein aneurysms are rare but serious vascular conditions. Veno-enteric fistulas, a complication, require surgical repair involving aneurysm removal and intestinal resection.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Medical Diagnostics
Background:
- Iliac vein aneurysms are uncommon vascular conditions.
- Potential complications include rupture, thromboembolism, and veno-enteric fistula formation.
- Veno-enteric fistulas can present as gastrointestinal bleeding, especially in patients with prior abdominal surgery.
Purpose of the Study:
- To highlight the importance of considering veno-enteric fistula in patients with a history of surgery presenting with gastrointestinal bleeding.
- To outline the diagnostic considerations for this rare complication.
- To describe the surgical management of veno-enteric fistulas secondary to iliac vein aneurysms.
Main Methods:
- Case study review and literature synthesis.
- Diagnostic workup for gastrointestinal bleeding in patients with vascular history.
- Surgical intervention strategies for veno-enteric fistula.
Main Results:
- Iliac vein aneurysms are rare but can lead to life-threatening complications.
- Veno-enteric fistula is a critical diagnosis in patients with relevant surgical history and GI bleeding.
- Surgical treatment involves aneurysmectomy, venorraphy, and intestinal resection.
Conclusions:
- Veno-enteric fistula should be included in the differential diagnosis for gastrointestinal bleeding in patients with a history of abdominal surgery.
- Prompt diagnosis and surgical intervention are crucial for managing this rare but severe complication.
- The described surgical approach is effective in treating veno-enteric fistulas associated with iliac vein aneurysms.
Abstract:
Iliac vein aneurysm is rare. Its complications include rupture, thromboembolism, and enteric fistulization. If a patient with surgical history presents with gastrointestinal bleeding, the veno-enteric fistula should be part of the differential diagnoses. In presence of a veno-enteric fistula, surgical treatment consists of aneurysmectomy, venorraphy, and intestinal resection.
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