A rare case presenting with rectal bleeding: Iatrogenic transcolonic graft malposition
Year: 2025
Type: article
Study design: Case Report
Abstract: Aortobifemoral bypass surgery is commonly performed for aortoiliac occlusive disease. Aortoenteric fistula (AEF) is a rare but serious complication, either primary or secondary. This case report presents a 50-year-old male who developed hematochezia three months after aortobifemoral bypass. Colonoscopy revealed an iatrogenic sigmoid colon injury. The patient required multidisciplinary management involving general surgery and urology. He underwent multiple reoperations, including bowel repair, ureteral intervention, and colostomy. Postoperative care included antibiotics and dual antiplatelet therapy. He was discharged in stable condition after 35 days, with no further gastrointestinal bleeding observed during follow-up. This case highlights the need to consider secondary AEF in post-vascular surgery patients presenting with GI bleeding. Prompt diagnosis and coordinated multispecialty intervention are crucial to prevent fatal outcomes and ensure optimal recovery.
Authors: Gorkem Yigit, Ayla Celikten, Ufuk Turkmen, Ertugrul Alkurt, Musa Ekici
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4412744895