Iliac arterial-enteric fistulas occurring after pelvic irradiation

Journal Article · Fri May 01 04:00:00 EDT 1987 · Surgery; (United States)

OSTI ID:6497902

Vetto, J T; Culp, S C; Smythe, T B; Chang, A E; Sindelar, W F; Sugarbaker, P H; Heit, H A; Giordano, J M; Kozloff, L

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.

• Research Organization: Surgery Branch, National Cancer Institute, Bethesda, MD
• OSTI ID: 6497902
• Journal Information: Surgery; (United States), Journal Name: Surgery; (United States) Vol. 5; ISSN SURGA
• Country of Publication: United States
• Language: English

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560151* -- Radiation Effects on Animals-- Man
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
BODY
BODY AREAS
DIGESTIVE SYSTEM
DIGESTIVE SYSTEM DISEASES
DISEASES
FISTULAE
GASTROINTESTINAL TRACT
INTESTINES
IRRADIATION
MEDICINE
NEOPLASMS
NUCLEAR MEDICINE
ORGANS
PATHOLOGICAL CHANGES
PELVIS
RADIOINDUCTION
RADIOLOGY
RADIOTHERAPY
SIDE EFFECTS
THERAPY