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Capt Paul D. Hatton, MC; Maj Jacob G. Robison, MC; Lt Col John W. Hallett, Jr, MC

Arch Surg. 1984;119(10):1208-1209.

Abstract
• Secondary aortocolonic fistula is an uncommon complication of prosthetic aortic grafts; apparently there have been only two previously described long-term survivors. We describe a long-term survivor with this complication in which preoperative computed tomographic scanning and percutaneous abscess drainage allowed early diagnosis and intervention and contributed to optimal treatment and survival. Adherence to time-honored principles of abscess drainage and graft removal, followed by extra-anatomic bypass when indicated, are essential to successful treatment.

(Arch Surg 1984;119:1208-1209)

Author Affiliations
USAF; USAF; USAF

From the Vascular Surgery Service, Department of General Surgery, Wilford Hall USAF Medical Center, Lackland AFB, Tex.

Footnotes
Accepted for publication June 29, 1984.

The viewpoints expressed in this article are those of the authors and do not necessarily reflect official policy of the US Air Force or Department of Defense.

Reprint requests to Vascular Surgery Service/SGHSG, Wilford Hall USAF Medical Center, Lackland AFB, TX 78236 (Dr Robison).