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Case Reports
. 2024;92(3):399-402.
doi: 10.24875/CIRU.22000395.

Hemorrhagic shock secondary to ruptured hypogastric artery pseudoaneurysm. A rare complication of colorectal anastomotic leakage

Cristina de la Cruz-Cuadrado  1 , Dácil Montesdeoca-Cabrera  1 , Daniel Cubillo-Prieto  2 , Esteban Pérez-Alonso  1 , Juan R Hernández-Hernández  1
Affiliations
Case Reports

Hemorrhagic shock secondary to ruptured hypogastric artery pseudoaneurysm. A rare complication of colorectal anastomotic leakage

Cristina de la Cruz-Cuadrado et al. Cir Cir. 2024.

Abstract
in English, Spanish

Massive bleeding due to rupture of hypogastric artery pseudoaneurysm is an exceptional complication of colorectal anastomotic leakage. A 41-year-old woman with history of rectal cancer surgery, who debuted with massive rectorrhagia and hypovolemic shock due to rupture of a hypogastric artery pseudoaneurysm as a late complication of a colorectal anastomosis leak. The ruptured hypogastric artery pseudoaneurysm should be taken into account in the differential diagnosis of patients with massive rectorrhagia and history of colorectal anastomosis leak. Endovascular embolization is considered the first-line treatment.

La hemorragia masiva por rotura de un pseudoaneurisma de la arteria hipogástrica es una complicación muy rara de la fuga anastomótica colorrectal. Mujer de 41 años con antecedentes de cirugía por cáncer de recto, que debutó con un cuadro de rectorragias masivo y shock hipovolémico secundario a la rotura de un pseudoaneurisma de la arteria hipogástrica como complicación tardía de una fuga de la anastomosis colorrectal. La rotura de un pseudoaneurisma de la arteria hipogástrica se debe tener presente en el diagnostico diferencial de pacientes con rectorragia masiva y antecedentes de dehiscencia de anastomosis colorrectal. La embolización endovascular es actualmente el tratamiento de elección.

Keywords: Colorectal anastomosis leak; Fuga de anastomosis colorrectal; Hemorrhagic shock; Hypogastric artery pseudoaneurysm; Pseudoaneurisma de arteria hipogástrica; Shock hemorrágico.

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