Case report

https://doi.org/10.21860/medflum2021_264899

Small bowel perforation with iliac artery prosthesis stump: a case report

Josip Figl orcid.org/0000-0001-6755-8656 ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Igor Petrović ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Predrag Pavić ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Nermin Lojo ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Ivan Romić ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Dino Papeš ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Ivan Škorak ; Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia

Abstract

Aim: In this case we report an unusual complication after retroperitoneal formation of an iliac artery prosthesis-stump – a bowel perforation and sepsis. Case report: During the open urology surgery a right external iliac artery was iatrogenic injured and iliofemoral bypass grafting was performed. Eight months thereafter, due to an inguinal site graft infection and graft occlusion, the distal part of the prosthesis was transacted and removed, and the proximal, retroperitoneal part, was closed and over sewn in the zone without any sign of infection present. This prosthesis-stump caused a very unusual complication – a small bowel perforation three months thereafter. Conclusion: The whole retroperitoneal graft should always be removed with no stump formation to avoid this complication.

Keywords

complication; iatrogenic injury; iliac artery; prosthesis

Hrčak ID:

264899

URI

https://hrcak.srce.hr/264899

Publication date:

1.12.2021.

Article data in other languages: croatian

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