Acute Rupture of the Left Common Iliac Artery After Sigmoid Diverticulitis

A 75 year old patient presented (3 years after left nephroureterectomy) with acute abdominal pain and left lower abdomen tenderness. Emergency computed tomography angiography revealed left common iliac artery rupture with contrast outflow in the sigmoid colon (A). Urgent laparotomy with resection of the sigmoid colon and left common iliac artery followed. The former was resected, both ends stapled, and left blind. (B) The latter was replaced with a bovine pericardium tube (Peri-Guard; Synovis, Birmingham, AL, USA) and wrapped with omentum.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Coup D'Oeil Source Type: research