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Case Reports
. 2024 Aug:121:109964.
doi: 10.1016/j.ijscr.2024.109964. Epub 2024 Jun 27.

Ruptured external iliac artery aneurysm: A case report

Milad Sarafi  1 , Donya Hatami  2 , Kiarash Ansari  2 , Moein Rast  3
Affiliations
Case Reports

Ruptured external iliac artery aneurysm: A case report

Milad Sarafi et al. Int J Surg Case Rep. 2024 Aug.

Abstract

Introduction: Iliac artery aneurysms are rare, with isolated iliac artery aneurysms responsible for only 2 % of all aneurysmal diseases. External iliac artery (EIA) aneurysms are extremely rare, and the exact cause is unknown. In this case, we report a giant aneurysm without any risk factor presented with rupture and managed by open repair.

Presentation of case: An 85-year-old man presented to the emergency department with sudden onset right lower quadrant abdominal pain and vague right lower limb pain. After a complete physical examination, an abdominopelvic CT scan revealed an 80 mm EIA aneurysm containing thrombosis and active leakage. The patient underwent open repair of an aneurysm using a graft between the Aorta and EIA. The surgery was uneventful. Later in the ICU, the patient experienced a cardiac arrest and unfortunately could not recover from it.

Discussion: In this case, a patient with a relatively large aneurysm presented with abdominal pain and lower limb discomfort. Although endovascular surgery is recommended for the repair of iliac aneurysms, open repair is common for ruptured aneurysms. Endovascular repair is less invasive but may lead to contrast-induced renal dysfunction. Open repair may induce complications such as sexual dysfunctions, graft infection, and pelvic ischemic conditions.

Conclusion: EIA aneurysms are exceedingly rare. They may present with a Rupture that puts the patient in critical condition, such as in this case. Due to the hemodynamic instability, open repair is considered one of the main approaches for repairing the aneurysm.

Keywords: Aneurysm; Aneurysm rupture; Case report; External iliac artery; Iliac artery.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no conflict of interest. The authors are responsible for the content and writing of the article.

Figures

Fig. 1
Fig. 1
Abdominopelvic CT scan: abdominopelvic CT scan with IV contrast of patient that shows external iliac artery aneurysm with thrombosis and rupture.
Fig. 2
Fig. 2
Aneurysm surgical site: external iliac artery aneurysm with thrombosis and rupture.
See this image and copyright information in PMC

References

    1. Wanhainen A, Verzini F, Herzeele IV, Allaire E, Bown M, Cohnert T, et al. Editor's Choice–European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms. Eur. J. Vasc. Endovasc. Surg. 2019 Jan 1;57(1):8–93. - PubMed
    1. Sandhu R.S., Pipinos I.I. Isolated iliac artery aneurysms. Semin. Vasc. Surg. 2005;18(4):209–215. Dec. - PubMed
    1. Hussain A.S., Aziz A. Giant external iliac artery aneurysm. Ann. Vasc. Surg. 2019;58 Jul. 386.e1–386.e3. - PubMed
    1. Maheshwari N., Vaddavalli V.V., Abuji K., Savlania A., Nada R. Isolated external iliac artery aneurysm: a rare case presentation of IgG4-related disease. J Vasc Bras. 2023;22:e20220119. Apr 7. - PMC - PubMed
    1. Michael Bacharach J., Slovut D.P. State of the art: management of iliac artery aneurysmal disease. Catheter. Cardiovasc. Interv. 2008;71(5):708–714. - PubMed

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