Kosin Med J.  2018 Dec;33(3):431-437. 10.7180/kmj.2018.33.3.431.

A Case of Spontaneous Common Iliac Atery Dissection

• Noh J
• Rhee I
• Kim M
• Lee J
• Kim K
• Park B

• KMID: 2442556
• DOI: http://doi.org/10.7180/kmj.2018.33.3.431

Abstract

Spontaneous and isolated dissection of the limb arteries without involvement of the aorta is extremely rare, and has been reported previously in pregnant patients in association with collagen vascular disease, and in cases of high-energy trauma or intensive activity in athletes. There is no consensus yet on indications for medical or surgical therapeutic modality. Due to the rarity of spontaneous dissection of external iliac artery, its natural history has been poorly described. A healthy 50-year-old male with normotension was admitted with an acute onset of left flank pain. Left external iliac artery dissection was diagnosed by abdominal computed tomography.

Keyword

Dissection; External iliac artery; Spontaneous; Stent

MeSH Terms

Aorta
Arteries
Athletes
Collagen
Consensus
Extremities
Flank Pain
Humans
Iliac Artery
Male
Middle Aged
Natural History
Stents
Vascular Diseases
Collagen

Figure

• 

  Fig. 1 Contrast-enhanced abdominal CT scan showing an intimal flap involving the left external iliac artery with contrast filling of the false and true lumens with surrounding hematoma formation (arrows).

• 

  Fig. 2 (A) Initial angiography shows dissection with visualized intimal flaps (arrows). (B) Intravenous ultrasound (IVUS) revealed a false lumen (arrows) and intimal flap (arrow heads) showing external iliac artery dissection.

• 

  Fig. 3 Angiography after stent deployment shows obliteration of the dissection and good flow restoration.

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