Misplacement of One Limb of an Aortobifemoral Prosthesis thorough the Right Colon

A 54-year-old woman, who had recently undergone an aortobifemoral bypass at another institution, presented to our attention complaining of lower abdominal pain and septic fever. Review of charts revealed that the patient postoperative course was complicated by a perigraft collection that was treated conservatively. At our institution, an extensive persistent perigraft fluid collection was documented. A virtual colonoscopy demonstrated the right limb of the vascular graft piercing thorough the right colon. Definitive treatment was achieved by a multistep procedure consisting of segmental resection of the involved bowel, total graft excision and extra anatomic by-pass.