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Iliac arterial-enteric fistulas occurring after pelvic irradiation.
Surgery ; 101(5): 643-7, 1987 May.
Article em En | MEDLINE | ID: mdl-3576457
Fistulas from the iliac artery to the bowel constitute a condition that is often lethal. Excluding fistulas related to vascular grafts, a review of previously reported cases shows that they are most often due to atherosclerotic iliac aneurysms. Three unusual cases of this condition that occurred after high-dose pelvic irradiation for treatment of cancer are presented; in no case was recurrent tumor evident. These cases suggest that high-dose pelvic irradiation can predispose to the formation of iliac arterial-enteric fistulas, particularly if sepsis or inflammation develops. The definitive surgical management of these fistulas entails bowel resection, arterial ligation, and extra-anatomic bypass.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pelve / Fístula Intestinal / Fístula / Artéria Ilíaca Tipo de estudo: Etiology_studies Limite: Adult / Humans / Male / Middle aged Idioma: En Revista: Surgery Ano de publicação: 1987 Tipo de documento: Article País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pelve / Fístula Intestinal / Fístula / Artéria Ilíaca Tipo de estudo: Etiology_studies Limite: Adult / Humans / Male / Middle aged Idioma: En Revista: Surgery Ano de publicação: 1987 Tipo de documento: Article País de publicação: Estados Unidos