A Case of Right Iliac Pseudoaneurysmal Rupture to the Rectum after 13 Years from the Y Graft Bypass Operation

Tsutomu Kikuchi, Ichirou Takabatake, Shin Nagao

Department of Surgery, Arimatsu Central Hospital

An 82-year-old man underwent bypss graft replacement with an artificial bifurcated graft for a pseudoaneurysm-rectum fistula. He was admitted to our hospital on June 24, 1996, because of diarrhea for 4 days. He complained of melena 2 days after admission and a diagnosis of a right common iliac artery pseudo-aneurysm-rectum perforation was made by CT scan. An emergency operation was performed. A femoral-femoral artery byapss was performed before laparotomy. An aneurysm was detected of the Y Graft right limb of the anastomosis. The fistula was closed after partial resection of graft right limb and pseudoaneurysm. He recovered completely colostomy after the operation and was discharged on December 12 1996. Pseudoaneurysm-rectum perforation is associated with a high rate of death due to infection and bleeding, but it is very rare. A rare case of a Y-graft bypass for a right iliac pseudoaneurysm-rectum perforation was reported 13 years ago.

Key words
pseudoaneurysm, Y-graft bypass, pseudoaneurysmal-enteric perforation

Reprint requests
Tsutomu Kikuchi First Department of Surgery, Kanazawa University
13-1 Takara-machi, Kanazawa, 920-0934 JAPAN

Accepted
February 12, 1998

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