Pseudoaneurysm of inferior epigastric artery complicating ileostomy construction

Karimian F, Darbanian K, Paydar A
Correspondence: Dr Faramarz Karimian, karimyan@medscape.com

ABSTRACT
Pseudoaneurysm of the inferior epigastric artery complicating ileostomy construction is described in a 25-year-old woman. She underwent total abdominal perineal proctocolectomy with a permanent ileostomy constructed through the right rectus muscle. 15 days later, she abruptly developed significant bleeding through the ileostomy that recurred two more times. Endoscopy performed through the ileostomy stoma revealed a small ulcer 8 cm from the stomal opening. The distal segment of ileum containing the bleeding site was resected, and on-table examination of the lesion revealed an underlying tear in the inferior epigastric artery wall. The patient recovered after the operation.

Keywords: ileostomy complication, inferior epigastric artery pseudoaneurysm, surgical complication
Singapore Med J 2006; 47(10): 910-912