1. Aortoiliac endograft-enteric fistula due to an ingested toothpick
Andreas M. Lazaris, MD, Dimitrios Tsapralis, MD, Pavlos Patapis, MD, Elias Mproutzos, MD, Haralambos Tzathas, MD, John D. Kakisis, MD, Spyros N. Vasdekis, MD, PhD 
Journal of Vascular Surgery 
Volume 50, Issue 3, Pages (September 2009)
DOI: /j.jvs
Copyright © 2009 Society for Vascular Surgery Terms and Conditions

2. Fig
A, Computed tomography scan shows opacified area between the right external iliac artery (long arrow) and the adjacent sigmoid colon (short wide arrow), located in the right iliac fossa, indicative of extravasation of small amount of intravenous contrast material. B, Intraoperative angiogram shows a stent graft has been inserted as an extension to the right limb of the previous aortoiliac endograft (white arrow). The black arrows designate the lower and upper ends of the inserted stent graft. C, Lower gastrointestinal endoscopy shows a long pointed object inside the lumen of the sigmoid colon, proved to be, postoperatively, the toothpick (arrow). D, Lower gastrointestinal endoscopy shows a foreign body resembling a metallic object emerging through the enteric mucosa (arrow). E, Toothpick is shown piercing the sigmoid colon (arrow) in the operative field. F, A short tear on the right limb of the endograft was due to the toothpick perforation (arrow).
Journal of Vascular Surgery  , DOI: ( /j.jvs )
Copyright © 2009 Society for Vascular Surgery Terms and Conditions