A Primary Arterio Enteric Fistula with Takayasu Arteritis

Shoko Minemura; Tomoaki Matsumura; Makoto Arai; Arata Oyamada; Keiko Saito; Sayuri Sazuka; Masaru Tsuboi; Daisuke Maruoka; Takeshi Tanaka; Tomoo Nakagawa; Tatsuro Katsuno; Keiichi Ishida; Goro Matsumiya; Osamu Yokosuka

doi:10.2169/internalmedicine.52.8800

CASE REPORTS

A Primary Arterio Enteric Fistula with Takayasu Arteritis

Shoko Minemura, Tomoaki Matsumura, Makoto Arai, Arata Oyamada, Keiko Saito, Sayuri Sazuka, Masaru Tsuboi, Daisuke Maruoka, Takeshi Tanaka, Tomoo Nakagawa, Tatsuro Katsuno, Keiichi Ishida, Goro Matsumiya, Osamu Yokosuka

Author information

Shoko Minemura
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Tomoaki Matsumura
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Makoto Arai
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Arata Oyamada
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Keiko Saito
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Sayuri Sazuka
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Masaru Tsuboi
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Daisuke Maruoka
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Takeshi Tanaka
Department of Environmental Biochemistry, Graduate School of Medicine, Chiba University, Japan
Tomoo Nakagawa
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Tatsuro Katsuno
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Keiichi Ishida
Department of Cardiovascular Surgery, Graduate School of Medicine, Chiba University, Japan
Goro Matsumiya
Department of Cardiovascular Surgery, Graduate School of Medicine, Chiba University, Japan
Osamu Yokosuka
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan

Keywords: arterio enteric fistula, Takayasu arteritis

JOURNAL OPEN ACCESS

2013 Volume 52 Issue 3 Pages 359-362

DOI https://doi.org/10.2169/internalmedicine.52.8800

Details

Abstract

Arterio enteric fistulas (AEFs) are rare. We herein report a case of a primary arterio enteric fistula of the rectum associated with Takayasu arteritis. A 77-year-old woman presented with acute massive hematochezia and was taken to our hospital. Colonoscopy revealed pulsatile extrinsic rectal wall compression with an exposed blood vessel. Transvaginal ultrasonography and Doppler ultrasound revealed a localized vascular growth laying on the dorsal surface of the uterus that showed an arterial blood-flow signal. We diagnosed the patient to have a pelvic aneurism that had formed a fistula within the rectal wall. We eliminated the aneurysm by ligating the drainage and feeder arteries. Following surgery, the patient did not experience any relapses of hematochezia.

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