October 1984

Survival Following Aggressive Treatment of Secondary Aortocolonic Fistula

Author Affiliations

From the Vascular Surgery Service, Department of General Surgery, Wilford Hall USAF Medical Center, Lackland AFB, Tex.

Arch Surg. 1984;119(10):1208-1209. doi:10.1001/archsurg.1984.01390220082019

• Secondary aortocolonic fistula is an uncommon complication of prosthetic aortic grafts; apparently there have been only two previously described long-term survivors. We describe a long-term survivor with this complication in which preoperative computed tomographic scanning and percutaneous abscess drainage allowed early diagnosis and intervention and contributed to optimal treatment and survival. Adherence to time-honored principles of abscess drainage and graft removal, followed by extra-anatomic bypass when indicated, are essential to successful treatment.

(Arch Surg 1984;119:1208-1209)