{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T22:12:35Z","timestamp":1778278355662,"version":"3.51.4"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T00:00:00Z","timestamp":1735257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Arterio-enteric fistula is one of the extremely rare complications of penetrating trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 27-year-old male presented to the emergency department with a gunshot to the right buttock. Initial assessments revealed a left femoral shaft fracture, the right buttock as the bullet inlet and the medial portion of the left thigh as an outlet, with no other significant findings. He underwent external fixation for the left femoral fracture. On the seventh day of admission, the patient experienced two episodes of massive melena and hypovolemic shock. The patient underwent an upper endoscopy without any remarkable findings. Also, we performed an emergent laparotomy to find the source of upper gastrointestinal bleeding (GIB); however, no evidence of upper GIB was found. Then, the patient underwent CT angiography, which subsequently identified a deep femoral artery pseudoaneurysm. Also, we performed a colonoscopy to investigate the source of GIB, revealing an orifice on the rectal wall. The patient underwent open surgery for a pseudoaneurysm. During surgery, a tract from the pseudoaneurysm of the deep femoral artery to the rectum was discovered, leading to the ligation of the deep femoral artery branch. After recovery from the operation and completion of the orthopedic treatment, the patient was discharged in an appropriate condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Traumatic arterio-enteric fistulas can present with fatal gastrointestinal bleeding, requiring crucial investigations and proper imaging evaluations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In case of new-onset massive melena during hospitalization, upper GIB should always be considered. However, in penetrating trauma patients, repeating CT angiography should be considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110803","type":"journal-article","created":{"date-parts":[[2024,12,29]],"date-time":"2024-12-29T17:33:03Z","timestamp":1735493583000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Massive lower gastrointestinal bleeding due to pseudoaneurysm of the femoral artery following buttock gunshot injury: A case report"],"prefix":"10.1097","volume":"126","author":[{"given":"Saman","family":"Sheikhi","sequence":"first","affiliation":[{"name":"Department of Surgery, Shahid-Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Babak","family":"Mansourian","sequence":"additional","affiliation":[{"name":"Department of Surgery, Shahid-Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aysa","family":"Karimi","sequence":"additional","affiliation":[{"name":"Radiology Department, Imam-Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alireza","family":"Shakerpour","sequence":"additional","affiliation":[{"name":"Department of Surgery, Shahid-Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Faegh","sequence":"additional","affiliation":[{"name":"School of Medicine, Alborz University of Medical Sciences, Karaj, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatemeh","family":"Nafarzadeh","sequence":"additional","affiliation":[{"name":"Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-152-20260508","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/0011-3840(87)90016-5","article-title":"Torso trauma","volume":"24","author":"Trunkey","year":"1987","journal-title":"Curr. Probl. Surg."},{"key":"R2-152-20260508","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1186\/1749-7922-6-33","article-title":"Analytical review of 664 cases of penetrating buttock trauma","volume":"6","author":"Lunevicius","year":"2011","journal-title":"World J. Emerg. Surg."},{"key":"R3-152-20260508","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s13017-017-0117-6","article-title":"Pelvic trauma: WSES classification and guidelines.","volume":"12","author":"Coccolini","year":"2017","journal-title":"World J. Emerg. Surg."},{"key":"R4-152-20260508","first-page":"130","article-title":"Femoral artery pseudoaneurysm due to a gunshot injury","volume":"68","author":"Algin","year":"2018","journal-title":"J. Pak. Med. Assoc."},{"key":"R5-152-20260508","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1097\/00005131-200301000-00013","article-title":"Pseudoaneurysm of the inferior gluteal artery following polytrauma: diverse presentation of a dangerous complication: a report of two cases","volume":"17","author":"Agarwal","year":"2003","journal-title":"J. Orthop. Trauma"},{"key":"R6-152-20260508","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1177\/1538574421994413","article-title":"Traumatic arterio-enteric fistula-a report of 2 cases with review of literature","volume":"55","author":"James","year":"2021","journal-title":"Vasc. Endovasc. Surg."},{"issue":"5","key":"R7-152-20260508","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi","year":"2023","journal-title":"Int. J. Surg. Lond. Engl."},{"key":"R8-152-20260508","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1007\/s10151-014-1168-2","article-title":"Penetrating injury to the buttock: an update","volume":"18","author":"Lunevicius","year":"2014","journal-title":"Tech. Coloproctol."},{"key":"R9-152-20260508","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jsurg.2007.08.004","article-title":"The significance of penetrating gluteal injuries: an analysis of the Operation Iraqi Freedom experience","volume":"65","author":"Lesperance","year":"2008","journal-title":"J. Surg. Educ."},{"key":"R10-152-20260508","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1177\/1531003510370716","article-title":"Isolated penetrating gluteal injuries","volume":"21","author":"Ceyran","year":"2009","journal-title":"Perspect. Vasc. Surg. Endovasc. Ther."},{"key":"R11-152-20260508","first-page":"64","article-title":"Penetrating gluteal injuries management\u2014the need for management protocols","volume":"133","author":"Nadu","year":"1997","journal-title":"Harefuah"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224015840?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224015840?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110803","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T22:01:38Z","timestamp":1778277698000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110803"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.110803","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-11-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}