Multifarious complications after vascular reconstructive surgery. Diagnostic and therapeutic errors. 1988

H Rykowski, and J Jaworski
Department of Vascular Surgery, Postgraduate Medical School of Warsaw, Poland.

This report is concerned with a short review of 3 reported cases in which rare successive complications occurred in various lapses of time after vascular reconstructive operations. In one, 38 year old man, in a 12 year period after primary endarterectomy of aortic bifurcation and common iliac arteries the following complications occurred consecutively: an aneurysmal formation in the iliac artery with urethero-aneurysmal fistula and severe bleeding from the urinary tract, entero-prosthetic fistula with severe gastro-intestinal bleeding, occlusion of the left iliac artery with severe left leg ischaemia. They were surgically corrected each time with a satisfactory result. In another, a 25 year old man, a traumatic lesion of the iliac artery with false aneurysmal formation took place. After an emergency excision of the aneurysm with graft replacement, early bleeding occurred from the operative wound. It was treated conservatively, which resulted in infection of the graft and crawling sepsis which lasted 6 months. Urethero-prosthetic fistula and occlusion of the femoral artery occurred. It was corrected surgically with a satisfactory result. The last case concerned a 53 year old man with atherosclerotic occlusion of the abdominal aorta, external iliac and femoral arteries. An aorto-bilateral femoral bypass graft was instituted in him. In 10 days, complete gangrene of the sigmoid colon with perforation occurred. Sigmoidectomy with colostomy were performed. After that, further complications developed: (1) massive venous thrombosis of the left leg and (2) progressive left buttock necrosis. The last complication resulted in septicemia and death of this patient after 3 months of treatment.

UI MeSH Term Description Entries
D007511 Ischemia A hypoperfusion of the BLOOD through an organ or tissue caused by a PATHOLOGIC CONSTRICTION or obstruction of its BLOOD VESSELS, or an absence of BLOOD CIRCULATION. Ischemias
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003951 Diagnostic Errors Incorrect or incomplete diagnoses following clinical or technical diagnostic procedures. Diagnostic Blind Spots,Errors, Diagnostic,Misdiagnosis,Blind Spot, Diagnostic,Blind Spots, Diagnostic,Diagnostic Blind Spot,Diagnostic Error,Error, Diagnostic,Misdiagnoses
D005402 Fistula Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body. Fistulas
D005734 Gangrene Death and putrefaction of tissue usually due to a loss of blood supply. Gangrenes
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000783 Aneurysm Pathological outpouching or sac-like dilatation in the wall of any blood vessel (ARTERIES or VEINS) or the heart (HEART ANEURYSM). It indicates a thin and weakened area in the wall which may later rupture. Aneurysms are classified by location, etiology, or other characteristics. Saccular Aneurysm,Fusiform Aneurysm,Aneurysm, Fusiform,Aneurysms,Aneurysms, Fusiform,Fusiform Aneurysms
D013530 Surgical Wound Infection Infection occurring at the site of a surgical incision. Postoperative Wound Infection,Infection, Postoperative Wound,Infection, Surgical Wound,Surgical Site Infection,Wound Infection, Postoperative,Wound Infection, Surgical,Infection, Surgical Site,Infections, Postoperative Wound,Infections, Surgical Site,Infections, Surgical Wound,Postoperative Wound Infections,Surgical Site Infections,Surgical Wound Infections,Wound Infections, Postoperative,Wound Infections, Surgical

Related Publications

H Rykowski, and J Jaworski
April 1996, Bratislavske lekarske listy,
H Rykowski, and J Jaworski
May 1992, Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti,
H Rykowski, and J Jaworski
January 1975, The Journal of cardiovascular surgery,
H Rykowski, and J Jaworski
December 1998, Bratislavske lekarske listy,
H Rykowski, and J Jaworski
February 1982, Khirurgiia,
H Rykowski, and J Jaworski
July 1988, Vestnik khirurgii imeni I. I. Grekova,
H Rykowski, and J Jaworski
January 1985, Acta chirurgica Scandinavica,
H Rykowski, and J Jaworski
October 1980, Klinicheskaia khirurgiia,
H Rykowski, and J Jaworski
December 1999, Bratislavske lekarske listy,
Copied contents to your clipboard!