Introduction:

aortoenteric fistulas (AEF) are a serious complication in the field of vascular surgery with a very high morbimortality.

Case report:

58-year-old woman with a history of surgery and pelvic radiotherapy for cervical cancer who is undergoing surgery for Leriche syndrome. Aortobifemoral bypass is performed with the development of AEFs secondary to iatrogenic perforation of the sigma during tunneling of the prosthesis. The patient requires two reinterventions, many antibiotics and a long postoperative period to resolve the sequelae.

Discusion:

the diagnosis of AEF requires a high level of suspicion and its management must be aggressive from the outset given the morbidity and mortality associated with this complication. The history of pelvic radiotherapy has favoured this fact and its multidisciplinary treatment is essential for the resolution of this problem.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )