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April 5, 1976

Ileo-Iliac, Arterial-Enteric Fistula

Author Affiliations

Charlotte (NC) Memorial Hospital

JAMA. 1976;235(14):1424-1425. doi:10.1001/jama.1976.03260400012008

To the Editor.—  We would like to report an unusual case of rectal bleeding from rupture of an aneurysm of the iliac artery into the ileum, ie, an ileo-iliac, arterial-enteric fistula. Our review of the literature discloses that gastrointestinal bleeding from these kinds of sources usually occurs in the duodenum,1 but occasionally in the jejunum or the ileum,2 and usually results from the rupture of aneurysms or from complications of reconstructive arterial operations.3

Report of a Case.—  Four hours before admission, a 53-year-old man passed a large, dark, bloody stool. On his way to the hospital, he noted pain in the right thigh and weakness in the right leg. Shortly after arriving in the emergency room, he suffered a cardiorespiratory arrest from which he was successfully resuscitated. The anxious patient's abdomen was soft and nontender, with no masses. The rectum contained grossly bloody stool. Right femoral, popliteal,