Ischemic colitis after endovascular abdominal aneurysm repair in a patient with bilaterally patent internal iliac arteries: a case report

doi:10.5606/tgkdc.dergisi.2017.13731

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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