J Korean Soc Emerg Med.  1999 Sep;10(3):481-486.

A Case of spontaneous Rupture of Isolated Internal Iliac Artery Aneurysm

• Kim HS
• Joung YS
• Cho JP

Abstract

Isolated infernal iliac artery aneurysms and rupture are relatively infrequent, often difficult to detect and therefore rarely considered in the differential diagnosis for abdominal pain. The consequences can be grave, The incidence of isolated iliac artery aneurysm is 1~2% of that of abdominal aortic aneurysm(AAA). The natural history is of gradual enlargement, with rupture the most common clinical presentation. The signs and symptoms of such an aneurysm are influenced by its concealed location within the bony pelvis. Awareness of these special characteristics improves the chances of early diagnosis and proper surgical treatment before possible rupture. Here is a case of ruptured aneurysm of left internal iliad artery. A 73-year-old man was presented to our emergency center with severe abdominal pain and voiding difficulty Abdominal Computed Tomography(Cf) and angiography showed ruptured aneurysm of left infernal iliad artery. Emergency operation was successfully performed for the ruptured internal iliad artery aneurysm.

MeSH Terms

Abdominal Pain
Aged
Aneurysm*
Aneurysm, Ruptured
Angiography
Arteries
Diagnosis, Differential
Early Diagnosis
Emergencies
Humans
Iliac Artery*
Incidence
Natural History
Pelvis
Rupture
Rupture, Spontaneous*