Anterior Rectal Resection in a Patient with Aortoiliac Occlusive Disease and Coexisting Collateral Pathways: Management and Pitfalls
Chronic aortoiliac occlusive disease most often affects the common iliac arteries and distal aorta but can progress all the way to the renal arteries, occluding the inferior mesenteric artery. A compensatory collateral network typically develops to preserve lower body perfusion. Inadvertent compress...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/3721260 |
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| author | Floryn Cherbanyk Jean-Loup Gassend Olivier Martinet Snezana Andrejevic-Blant Henri-Marcel Hoogewoud |
| author_facet | Floryn Cherbanyk Jean-Loup Gassend Olivier Martinet Snezana Andrejevic-Blant Henri-Marcel Hoogewoud |
| author_sort | Floryn Cherbanyk |
| collection | DOAJ |
| description | Chronic aortoiliac occlusive disease most often affects the common iliac arteries and distal aorta but can progress all the way to the renal arteries, occluding the inferior mesenteric artery. A compensatory collateral network typically develops to preserve lower body perfusion. Inadvertent compression or ligation of such collaterals during surgery can have catastrophic consequences. In this article, we present the case of a 63-year-old patient with aortoiliac occlusive disease, requiring surgery for an adenocarcinoma of the rectosigmoid junction. A CT angiography was performed in order to map out the collateral pathways that had developed and Doppler ultrasound was used to mark their positions. The surgical procedure was adapted to his specific anatomy. A successful anterior resection was performed, and the patient made an uneventful recovery. In cases of aortoiliac obliteration, the existence of collaterals must be kept in mind and investigated with a multidisciplinary approach before any surgery is considered. |
| format | Article |
| id | doaj-art-eaf28f79e6074ec192d408348f904c85 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-eaf28f79e6074ec192d408348f904c852025-02-03T00:59:45ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/37212603721260Anterior Rectal Resection in a Patient with Aortoiliac Occlusive Disease and Coexisting Collateral Pathways: Management and PitfallsFloryn Cherbanyk0Jean-Loup Gassend1Olivier Martinet2Snezana Andrejevic-Blant3Henri-Marcel Hoogewoud4Department of Surgery, Riviera-Chablais Hospital, 1820 Montreux, SwitzerlandDepartment of Surgery, Riviera-Chablais Hospital, 1820 Montreux, SwitzerlandDepartment of Surgery, Riviera-Chablais Hospital, 1820 Montreux, SwitzerlandLaboratory of Pathology and Cytology Unilabs, CYPA-Lausanne, 1066 Epalinges, SwitzerlandDepartment of Radiology, HFR Fribourg, Fribourg, SwitzerlandChronic aortoiliac occlusive disease most often affects the common iliac arteries and distal aorta but can progress all the way to the renal arteries, occluding the inferior mesenteric artery. A compensatory collateral network typically develops to preserve lower body perfusion. Inadvertent compression or ligation of such collaterals during surgery can have catastrophic consequences. In this article, we present the case of a 63-year-old patient with aortoiliac occlusive disease, requiring surgery for an adenocarcinoma of the rectosigmoid junction. A CT angiography was performed in order to map out the collateral pathways that had developed and Doppler ultrasound was used to mark their positions. The surgical procedure was adapted to his specific anatomy. A successful anterior resection was performed, and the patient made an uneventful recovery. In cases of aortoiliac obliteration, the existence of collaterals must be kept in mind and investigated with a multidisciplinary approach before any surgery is considered.http://dx.doi.org/10.1155/2016/3721260 |
| spellingShingle | Floryn Cherbanyk Jean-Loup Gassend Olivier Martinet Snezana Andrejevic-Blant Henri-Marcel Hoogewoud Anterior Rectal Resection in a Patient with Aortoiliac Occlusive Disease and Coexisting Collateral Pathways: Management and Pitfalls Case Reports in Surgery |
| title | Anterior Rectal Resection in a Patient with Aortoiliac Occlusive Disease and Coexisting Collateral Pathways: Management and Pitfalls |
| title_full | Anterior Rectal Resection in a Patient with Aortoiliac Occlusive Disease and Coexisting Collateral Pathways: Management and Pitfalls |
| title_fullStr | Anterior Rectal Resection in a Patient with Aortoiliac Occlusive Disease and Coexisting Collateral Pathways: Management and Pitfalls |
| title_full_unstemmed | Anterior Rectal Resection in a Patient with Aortoiliac Occlusive Disease and Coexisting Collateral Pathways: Management and Pitfalls |
| title_short | Anterior Rectal Resection in a Patient with Aortoiliac Occlusive Disease and Coexisting Collateral Pathways: Management and Pitfalls |
| title_sort | anterior rectal resection in a patient with aortoiliac occlusive disease and coexisting collateral pathways management and pitfalls |
| url | http://dx.doi.org/10.1155/2016/3721260 |
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