Massive Lower Gastrointestinal Bleeding from Arterioenteric Fistula in Patient with Uterine Cancer: A Report of Rare Case

Abstract

Massive lower gastrointestinal bleeding commonly caused by colonic diverticula, angiodysplsia, and inflammatory
bowel disease. Arterioenteric fistula an unusual cause of massive lower gastrointestinal bleeding, and potentially
life-threating. Patient with advanced pelvic malignancy can develop hemorrhage from an arterioenteric fistula
recent advanced in evaluation of the iliac arteries by computerized tomography scan (CT-Scan), selective mesenteric
angiography is essential.
Herein we report a patient with recurrent cervical uterine cancer with massive lower gastrointestinal bleeding from a
branch of internal iliac arterial fistula to the colon. Treatment of this condition carries high morbidity and mortality
rate and clinicians should be alert to this rare cause of massive lower gastrointestinal bleeding especially in patients
with pelvic malignancy.