Pseudoaneurysm of the inferior gluteal artery: an unusual complication after abdominoperineal resection for rectal cancer. Report of a case.

Nunoo-Mensah, Joseph W; Ritter, Manfred P; Wasserberg, Nir; Ortega, Adrian; Harrell, D · Dis Colon Rectum · 2007

case_report · Level V

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Abstract

We report an unusual case of profuse, sporadic hemorrhage from a chronically infected perineal wound after an abdominoperineal resection. Surgical exploration and angiography on two occasions failed to identify the source of bleeding. A pseudoaneurysm of the internal iliac artery was eventually identified with a provocative angiogram using tissue plasminogen activator. This aneurysm was successfully treated with embolization with coils.

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