Lower gastrointestinal bleeding from the internal iliac artery: angiographic demonstration of an iliac arteriocolic fistula

Adam M Gittleman; Sidney Glanz; Man Hon; A Orlando Ortiz; Douglas S Katz

doi:10.1007/s00270-004-0174-6

Lower gastrointestinal bleeding from the internal iliac artery: angiographic demonstration of an iliac arteriocolic fistula

Cardiovasc Intervent Radiol. 2004 May-Jun;27(3):262-3. doi: 10.1007/s00270-004-0174-6. Epub 2004 May 4.

Authors

Adam M Gittleman¹, Sidney Glanz, Man Hon, A Orlando Ortiz, Douglas S Katz

Affiliation

¹ Department of Radiology, Winthrop-University Hospital, 259 First Street, 11501, Mineola, NY, USA.

PMID: 15129331
DOI: 10.1007/s00270-004-0174-6

Abstract

A rare source of potentially massive lower gastrointestinal hemorrhage in women is advanced gynecologic malignancy. Such patients can develop gastrointestinal hemorrhage with or without prior pelvic irradiation, due to arteriocolic fistulas. Angiography permits the correct diagnosis and subsequent embolotherapy.

Publication types

Case Reports

MeSH terms

Aged
Angiography / methods
Autopsy
Colon, Sigmoid
Embolization, Therapeutic / methods
Fatal Outcome
Female
Gastrointestinal Hemorrhage / diagnostic imaging*
Gastrointestinal Hemorrhage / etiology*
Gastrointestinal Hemorrhage / therapy
Humans
Iliac Artery
Intestinal Fistula / complications
Intestinal Fistula / diagnostic imaging*
Intestinal Fistula / therapy
Neoplasm Staging
Ovarian Neoplasms / diagnosis
Ovarian Neoplasms / therapy
Risk Assessment
Vascular Fistula / complications
Vascular Fistula / diagnostic imaging*
Vascular Fistula / therapy