Abstract
Coil migration into the colon is an extremely rare complication of aneurysm embolization and only three cases have been reported. Two of these cases were managed with resection of the involved colon and the remaining case was managed with serial imaging. We present a 70-year-old man who developed hematochezia 2 years after coil embolization of a ruptured left hypogastric artery aneurysm. The patient was successfully treated with diverting colostomy and endoscopic closure of the sigmoid colon defect. We present the only case report of the use of advanced endoscopy to treat endovascular coil migration.
Copyright © 2021 Elsevier Inc. All rights reserved.
MeSH terms
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Aged
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Aneurysm, Ruptured / diagnostic imaging
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Aneurysm, Ruptured / therapy*
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Colostomy
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Embolization, Therapeutic / adverse effects*
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Embolization, Therapeutic / instrumentation
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Endoscopy
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Foreign-Body Migration / diagnostic imaging
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Foreign-Body Migration / etiology*
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Foreign-Body Migration / surgery
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Humans
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Iliac Aneurysm / diagnostic imaging
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Iliac Aneurysm / therapy*
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Intestinal Fistula / diagnostic imaging
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Intestinal Fistula / etiology*
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Intestinal Fistula / surgery
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Male
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Pelvis / blood supply*
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Sigmoid Diseases / diagnostic imaging
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Sigmoid Diseases / etiology*
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Sigmoid Diseases / surgery
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Treatment Outcome
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Vascular Fistula / diagnostic imaging
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Vascular Fistula / etiology*
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Vascular Fistula / surgery