{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T09:47:16Z","timestamp":1782899236480,"version":"3.54.5"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":30,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Secondary aortoenteric fistula is a rare and life-threatening complication following aortic reconstructive surgery, most commonly involving the duodenum. Erosion of an aortofemoral bypass graft into the sigmoid colon is exceptionally uncommon; all reported cases were managed via open surgery with significant morbidity. Laparoscopic management with graft preservation has not been documented. A 59-year-old man presented with massive hematochezia 9 months after bilateral aortobifemoral bypass for an abdominal aortic and common iliac aneurysm. Colonoscopy revealed a vascular graft 25\u00a0cm from the anal verge. Computed tomography confirmed penetration of the graft into the sigmoid lumen without abscess or contrast extravasation. The patient underwent laparoscopic sigmoid colectomy with graft preservation and peritoneal coverage, followed by colorectal anastomosis and defunctioning ileostomy. He was discharged on postoperative Day 7. He was maintained on a 6-week course of targeted oral antimicrobial therapy. At 6-month follow-up, the patient remains well with a patent graft, no recurrent bleeding, and no graft-related complications. This case highlights the feasibility of minimally invasive management and selective graft preservation in carefully selected patients, challenging the paradigm of mandatory graft excision.<\/jats:p>","DOI":"10.1093\/jscr\/rjag509","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T11:44:36Z","timestamp":1780746276000},"source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic management of aortofemoral graft erosion into the sigmoid colon following secondary aortoenteric fistula: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Sameh","family":"Gabr","sequence":"first","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine, Al-Azhar University , Cairo 11651 ,","place":["Egypt"]},{"name":"General Surgery Department, Faculty of Medicine, Al-Azhar University , Cairo 11651 ,","place":["Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0148-2870","authenticated-orcid":false,"given":"Mohammed Arafat","family":"Abdel Maksoud","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine, Al-Azhar University , Cairo 11651 ,","place":["Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8461-0435","authenticated-orcid":false,"given":"Mahmoud","family":"ElSafty","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Tanta University , Tanta 31527 ,","place":["Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9884-7004","authenticated-orcid":false,"given":"Mohamed","family":"El Kaseer","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine, Al-Azhar University , Cairo 11651 ,","place":["Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"2026063015155374500_ref1","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1016\/j.jvs.2005.06.020","article-title":"Improved outcomes in the recent management of secondary aortoenteric fistula","volume":"42","author":"Armstrong","year":"2005","journal-title":"J Vasc Surg"},{"key":"2026063015155374500_ref2","doi-asserted-by":"publisher","volume":"107","journal-title":"Int J Surg Case Rep","DOI":"10.1016\/j.ijscr.2023.108344"},{"key":"2026063015155374500_ref3","doi-asserted-by":"publisher","first-page":"349","DOI":"10.20471\/acc.2017.56.02.21","article-title":"Re: Aortoduodenal fistula three years after aortobifemoral bypass: case report and literature review","volume":"56","author":"","year":"2017","journal-title":"Acta Clin Croa"},{"key":"2026063015155374500_ref4","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1097\/00000658-198110000-00004","article-title":"Aortoenteric fistula","volume":"194","author":"Connolly","year":"1981","journal-title":"Ann Surg"},{"key":"2026063015155374500_ref5","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1097\/00005373-199607000-00026","article-title":"Primary aortoenteric fistula from a posttraumatic pseudoaneurysm","volume":"41","author":"Napoli","year":"1996","journal-title":"J Trauma"},{"key":"2026063015155374500_ref6","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1016\/j.surg.2007.06.036","article-title":"Diagnosis and management of primary aortoenteric fistulas-experience learned from eighteen patients","volume":"143","author":"Song","year":"2008","journal-title":"Surgery"},{"key":"2026063015155374500_ref7","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1007\/s10620-011-1945-y","article-title":"Cancer-associated aorto-enteric fistula","volume":"57","author":"Singh","year":"2011","journal-title":"Dig Dis Sci"},{"key":"2026063015155374500_ref8","first-page":"204","article-title":"Aortic homografting; a report of six successful cases","volume":"102","author":"Brock","year":"1953","journal-title":"Guys Hosp Rep"},{"key":"2026063015155374500_ref9","doi-asserted-by":"publisher","first-page":"1191","DOI":"10.1001\/archsurg.1992.01420100049008","article-title":"Aortoenteric fistulas","volume":"127","author":"Peck","year":"1992","journal-title":"Arch Surg"},{"key":"2026063015155374500_ref10","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1016\/j.cursur.2004.06.018","article-title":"Aortoenteric fistula to the sigmoid colon\u2014case report","volume":"62","author":"Perez","year":"2005","journal-title":"Curr Surg"},{"key":"2026063015155374500_ref11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2022\/8412460","article-title":"Secondary Aorto-colonic fistula: a case report and literature review of a rare complication after EVAR","volume":"2022","author":"Wiangphoem","year":"2022","journal-title":"Case Rep Surg"},{"key":"2026063015155374500_ref12","doi-asserted-by":"publisher","DOI":"10.23937\/2378-3656\/1410250","article-title":"A case of secondary aortoduodenal fistula diagnosed by esophagogastroduodenoscopy","volume":"6","author":"Kyosuke","year":"2019","journal-title":"Clin Med Rev Case Rep"},{"key":"2026063015155374500_ref13","doi-asserted-by":"publisher","first-page":"4053","DOI":"10.1097\/MS9.0000000000000909","article-title":"Digestive hemorrhage and fever as a result of a double secondary aortoenteric fistula following the repair of a juxtarenal abdominal aortic aneurysm and an infection of the aortobifemoral bypass graft: a case report","volume":"85","author":"Abu","year":"2023","journal-title":"Ann Med Surg"},{"key":"2026063015155374500_ref14","doi-asserted-by":"publisher","first-page":"1065","DOI":"10.1097\/MS9.0000000000002947","article-title":"Successful management of secondary aorto-enteric fistula: a case report from Nepal","volume":"87","author":"Chaulagain","year":"2025","journal-title":"Ann Med Surg"},{"key":"2026063015155374500_ref15","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.75026"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag509\/68654392\/rjag509.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag509\/68654392\/rjag509.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T08:57:00Z","timestamp":1782896220000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag509\/8722418"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag509","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag509"}}