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Case Reports
. 2024 Jul 11;16(7):e64330.
doi: 10.7759/cureus.64330. eCollection 2024 Jul.

The Endovascular Embolization of an Isolated Internal Iliac Artery Aneurysm: A Case Report

Mohamed M Abdelhadi  1 , Martin Maresch  1 , Ahmed I Elmasry  2
Affiliations
Case Reports

The Endovascular Embolization of an Isolated Internal Iliac Artery Aneurysm: A Case Report

Mohamed M Abdelhadi et al. Cureus. .

Abstract

While isolated internal iliac artery aneurysms (IIIAAs) are rare entities, they are associated with a high mortality rate if ruptured. IIAAs are usually asymptomatic and can be discovered accidentally during imaging for any other causes. The treatment options vary according to the signs, symptoms, size of the aneurysm, and the patient's general condition. While surgery used to be the first option of treatment earlier, with the advances in the field of endovascular intervention, endovascular repair of IIIAA has emerged as the first option of treatment if applicable.

Keywords: aneurysm coiling; endovascular embolisation; internal iliac artery aneurysm; isolated internal iliac aneurysm; vascular anomaly.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. CT angiography
The yellow arrow shows a pear-shaped aneurysm measuring 6.5 x 3.5 cm at the right-side pelvic cavity. The aneurysm can be seen displacing the adjacent urinary bladder seminal vesicles and prostate CT: computed tomography
Figure 2
Figure 2. Diagnostic angiogram
The yellow arrow shows multiple feeders coming over the right internal iliac artery aneurysmal dilation
Figure 3
Figure 3. Angiogram
The yellow arrows show post-coil embolization of the two hypogastric feeders of the right internal iliac artery aneurysm
Figure 4
Figure 4. CT angio at the three-month follow-up
The yellow arrow shows an aneurysm smaller in size (5.2 x 4.7 mm) with blood flow inside not enhancing with multiple small artifacts at its small narrow neck (indicating successful embolization) CT: computed tomography
See this image and copyright information in PMC

References

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