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10.5606/tgkdc.dergisi.2017.13731
Ischemic colitis after endovascular abdominal aneurysm repair in a patient with bilaterally patent internal iliac arteries: a case report
Kim Do Yeon, Jo Keon Hyon, Kim Hwan Wook
Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul St. Marys Hospital, The Catholic University of Korea, Seoul, South Korea
DOI : 10.5606/tgkdc.dergisi.2017.13731
Ischemic colitis is a well-known complication of
endovascular abdominal aneurysm repair caused by the
blockage of the inferior mesenteric artery and bilateral
internal iliac arteries by a stent graft or thrombus.
However, postoperative ischemic colitis is rarely seen
in patients with bilaterally patent internal iliac arteries.
A 72-year-old male patient with a 4.7 cm non-ruptured
abdominal aortic aneurysm developed ischemic colitis
following endovascular abdominal aneurysm repair,
although internal iliac arteries and inferior mesenteric
artery were patent. As the ischemic colitis was mild to
moderate in severity, the patient was treated conservatively
and uneventfully discharged.
Keywords : Abdominal aortic aneurysm; colitis; internal iliac artery; ischemia
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