Fistula Between An Abdominal Aortic Aneurysm and the Transverse Colon: Case Report

Abstract

Aortoenteric fistula is one of the rare complications of abdominal aortic an eurysm. The segment of intestine most frequently involved in aortoenteric fis tula is the duodenum, whereas the colon is a very rare site of fistula formation. To the author's knowledge, only 13 cases have been reported in the literature to have a primary arteriocolic fistula caused by abdominal aortic aneurysm. Pri mary repair of the fistulization between aorta and transverse colon, resection of aneurysm, and left axillofemoral, femorofemoral bypass were performed on the patient, who represents the fourteenth case in the literature. No important com plication developed and the patient was discharged from the hospital on the fifteenth postoperative day but died on the twenty-fourth postoperative day at another hospital from myocardial infarction.