Cristina de la Cruz-Cuadrado, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, España
Dácil Montesdeoca-Cabrera, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, España
Daniel Cubillo-Prieto, Unidad de Radiología Intervencionista. Hospital Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, España
Esteban Pérez-Alonso, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, España
Juan R. Hernández-Hernández, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, España
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.
Keywords: Hypogastric artery pseudoaneurysm. Hemorrhagic shock. Colorectal anastomosis leak.