Sage Journals: Discover world-class research

Abstract

Blowout syndrome caused by vascular invasion is a dreadful complication of late stage malignancies that carry high morbidity and poor overall prognosis in a compromised population. Endovascular management can offer minimally invasive and life-saving alternative for such acute conditions. We describe the case of a 62-year-old man with massive fresh bleeding per rectum and shock resulting from rupture of the left external iliac artery secondary to nearby infiltrative recurrent sigmoid cancer. This complication is rare, presents dramatically, and is frequently fatal. The patient was successfully treated with a stent graft deployment in order to achieve hemostasis and reinstituting the arterial integrity.

Keywords

blowout endovascular external iliac sigmoid tumor

Get full access to this article

View all access options for this article.

References

Borsany

. Rupture of the carotids following radical neck surgery in irradiated patients. Eye Ear Nose Throat Mon. 1962;41:531–533.

Cohen

Rad

. Contemporary management of carotid blowout. Curr Open Otolaryngol Head Neck Surg. 2004;12(2):110–115.

Nassiri

Kapoor

Qato

. Endovascular palliation of multivessel blowout syndrome in the setting of a nonresectable neck sarcoma. Ann Vasc Surg. 2013;27(1):111.e5–e9.

Koustiempelas

Pitton

Kukens

Lippert

Mann

. Endovascular carotid reconstruction in palliative head and neck cancer patients with threatened carotid blowout presents a beneficial supportive care measure. J Palliat Med. 2008;11(5):784–789.

Bates

Shamsham

. Endovascular management of impending carotid rupture in a patient with advanced head and neck cancer. J Endovasc Ther. 2003;10(1):54–57.

Joshi

Hughes

Zimmern

. Adult case Report and Literature Review: internal Iliac Artery Blowout Post Pelvic Radiation for Rectal Cancer. SM J Case Rep. 2017;3(3):1047.

Huntress

Kogan

Nagarsheth

Nassiri

. Palliative endovascular techniques for management of peripheral vascular blowout syndrome in end-stage malignancies. Vasc Endovascular Surg 2017;51(6):394–399.

Trompetas

Sandison

AJP

Anderson

. Combined open surgical and endovascular management of ruptured femoral artery from recurrent vulvar cancer. J Gynecol Oncol. 2010;21(4):276–278.

Nassiri

Kogan

Gibbon

Graham

. Multimodal endovascular palliation for femoral arterial blowout in the setting of metastatic vulvar carcinoma. Ann Vasc Surg. 2015;29(1):127.e11–5.

10.

Bracale

Merola

Del Guercio

Sodo

Giribono

Bracale

. Emergency endovascular management of the common femoral artery rupture due to radiotherapy for scrotal carcinoma. Acta Radiol Short Rep. 2015;4(1):2047981614545154.

Endovascular Management of External Iliac Blowout Syndrome Secondary to Recurrent Sigmoid Cancer

Abstract

Keywords

Get full access to this article

References