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Lee HK, Jung HS, Chung SY, et al. Colon perforation due to embolization coil for internal iliac aneurysm. Ann Surg Treat Res. 2017;92(6):440-443doi: 10.4174/astr.2017.92.6.440.
Lee, H. K., Jung, H. S., Chung, S. Y., & Choi, S. J. N. (2017). Colon perforation due to embolization coil for internal iliac aneurysm. Annals of surgical treatment and research, 92(6), 440-443. https://doi.org/10.4174/astr.2017.92.6.440
Lee, Ho Kyun, et al. "Colon perforation due to embolization coil for internal iliac aneurysm." Annals of surgical treatment and research vol. 92,6 (2017): 440-443. doi: https://doi.org/10.4174/astr.2017.92.6.440
Lee HK, Jung HS, Chung SY, Choi SJN. Colon perforation due to embolization coil for internal iliac aneurysm. Ann Surg Treat Res. 2017 Jun;92(6):440-443. doi: 10.4174/astr.2017.92.6.440. Epub 2017 May 29. PMID: 28580350; PMCID: PMC5453878.
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Ann Surg Treat Res. 2017 Jun;92(6):440-443. doi: 10.4174/astr.2017.92.6.440. Epub 2017 May 29.

Colon perforation due to embolization coil for internal iliac aneurysm.

Annals of surgical treatment and research

Ho Kyun Lee, Hong Sung Jung, Sang Young Chung, Soo Jin Na Choi

Affiliations

  1. Department of Surgery, Chonnam National University Medical School, Gwangju, Korea.

PMID: 28580350 PMCID: PMC5453878 DOI: 10.4174/astr.2017.92.6.440

Abstract

Coil migration is an extremely rare but hazardous complication of aneurysmal coil embolization. Only 1 case report has described coil migration following endovascular exclusion to gastrointestinal (GI) tract. We report the experience of a case of colon penetration caused by embolization coil placed for internal iliac aneurysm. A 66-year-old man visited the Emergency Department for hematochezia that had persisted for 3 months. Stent insertion and coil embolization of left internal iliac artery aneurysm had been performed on the patient 18 months ago. Colonoscopy was performed. It suggested penetration of sigmoid colon by embolization coil and diverticulum. Angiography revealed extravasation of contrast media at left internal iliac artery. Covered stent deployment was done in the left internal iliac artery. One week after the stent insertion, the patient underwent anterior resection, aneurysm resection, and coil removal. The patient recovered without complications. He was discharged at 2 weeks after the operation.

Keywords: Endovascular procedure; Iliac aneurysm; Intestinal perforation

Conflict of interest statement

CONFLICTS OF INTEREST: No potential conflict of interest relevant to this article was reported.

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