Revista Colombiana de Cirugía
Print version ISSN 2011-7582
ESPINEL, Camilo; BARRERA, Juan Guillermo; AMARILLO, Jaime Eduardo and MURCIA, Adriana Sofía. Lethal hematuria du to ilio-vesical fistula. Case report. rev. colomb. cir. [online]. 2011, vol.26, n.4, pp. 13-317. ISSN 2011-7582.
Iliocovesical fistulas are infrequent complications of abdominal aortic aneurysms (AAA). We report the case of a 76 year-old male with a contained ruptured aneurysm of the iliac to the urinary bladder. Complaints on presentation were abdominal pain and hematuria; suspected iliacovesical fistula was reported on a computed tomography (CT) scan, which was confirmed during laparotomy. The patient died 20 days after the procedure due to mixed distributive septic shock.
Keywords : hematuria; fistula; urinary bladder fistula; vascular fistula; iliac artery; aneurysm.