scholarly journals Isolated aneurysm of the internal iliac artery and disorders of the pelvic organs functions

2007 ◽  
Vol 64 (5) ◽  
pp. 357-360
Author(s):  
Davor Music ◽  
Bozina Radevic ◽  
Goran Batricevic ◽  
Goran Nikolic ◽  
Vesna Ivanovic ◽  
...  

Background. Isolated aneurysm of internal iliac artery is very rare and often asymptomatic. Aneurysm itself can produce malfunction of the pelvic organs. Aneurysm rupture is followed by high mortality. Case report. A 76-year old patient was admitted to the hospital with abdominal and left groin pain, disuric problems, obstipation and the signs of intestinal subocclusion. These problems persisted over the last few months. Digitorectal examination showed pulsatile tumor. Computed tomography and angiography revealed isolated aneurysm of the left internal iliac artery with a maximal diametar of 13.5 cm. The aneurysm was treated operatively using extraperitoneal approach in general anesthesia. During the operation a Cell Saver was used. The left internal iliac artery was resected and ligated with end-aneurysmatic suture of its branches. Conclusion. Isolated aneurysm of the internal iliac artery should be considered by differential diagnosis in any case of the occurrence of disorders of the pervic organs functions. Clinical findings, ultrasound examination, computed tomography and angiography are the diagnostic techniques of choice which can confirm the diagnosis. Surgical treatment with the use of retroperitoneal approach lead to complete recovery, so it could be considered the method of choice for patients with the condition permitting a radical surgical approach. .

1984 ◽  
Vol 45 (5) ◽  
pp. 628-631
Author(s):  
Hidemaro NAKANO ◽  
Masaki OHARA ◽  
Satoru KURATA ◽  
Kensuke ESATO ◽  
Hitoshi MOHRI

Chirurgia ◽  
2019 ◽  
Vol 32 (1) ◽  
Author(s):  
Mario Altable García ◽  
Vicente A. Sala Almonacil ◽  
José M. Zaragozá García ◽  
Jose I. Chiriboga Granja ◽  
Inmaculada Martinez Perelló ◽  
...  

Vascular ◽  
2016 ◽  
Vol 25 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Vinay Kansal ◽  
Prasad Jetty ◽  
Dalibor Kubelik ◽  
George Hajjar ◽  
Andrew Hill ◽  
...  

Endovascular aneurysm repairs lacking suitable common iliac artery landing zones occasionally require graft limb extension into the external iliac artery, covering the internal iliac artery origin. The purpose of this study was to assess incidence of type II endoleak following simple coverage of internal iliac artery without embolization during endovascular aneurysm repair. Three hundred eighty-nine endovascular aneurysm repairs performed by a single surgeon (2004–2015) were reviewed. Twenty-seven patients underwent simple internal iliac artery coverage. Type II endoleak was assessed from operative reports and follow-up computed tomography imaging. No patient suffered type II endoleak from a covered internal iliac artery in post-operative computed tomography scans. Follow-up ranged from 0.5 to 9 years. No severe pelvic ischemic complications were observed. In conclusion, for selected cases internal iliac artery coverage without embolization is a safe alternative to embolization in endovascular aneurysm repairs, where the graft must be extended into the external iliac artery.


Vascular ◽  
2014 ◽  
Vol 22 (5) ◽  
pp. 381-384 ◽  
Author(s):  
Gino Gemayel ◽  
Nicolas Murith ◽  
Afksendiyos Kalangos

We report a case of a life-threatening internal iliac artery aneurysm rupture managed successfully with an on-table reversed flared iliac limb stentgraft and embolization. This easily off-the-shelf reproducible technique avoids using a more complex and expensive bifurcated aorto-iliac graft and could be a good solution in emergency situation where a custom graft is not available.


Aorta ◽  
2021 ◽  
Author(s):  
Georgios Galanopoulos ◽  
Vassilios Papavassiliou

AbstractGiant aortoiliac aneurysm is a rare nosological entity. Owing to the increased diameter, the risk of rupture is extremely high and, similarly, the repair is extremely challenging. In this article, open surgical repair of a ruptured giant aortoiliac aneurysm in a 72-year-old male is described. A bifurcated Dacron graft was used with left internal iliac artery revascularization, while the contralateral internal iliac artery was ligated. The patient had an uneventful recovery.


Vascular ◽  
2020 ◽  
pp. 170853812097591
Author(s):  
Mian Wang ◽  
Luis M Bartolozzi ◽  
Vincent Riambau

Introduction To report total endovascular treatment for a rare case of Crawford extent IV thoraco-abdominal aortic aneurysm (TAAA) using custom-designed branched device in a patient with Behçet’s disease. Methods A 50 years’ old man with history of BD was accidentally diagnosed Crawford extent IV TAAA during computed tomography follow-up after left nephrectomy of renal carcinoma. The aneurysm extended from descending aorta to right common iliac artery with a maximum diameter of 6.2 cm. Results The endovascular procedure wassuccessfully performed using custom-designed branched component to cannulate visceral arteries, bifurcated endograft and iliac legs to exclude the aneurysm sac in abdominal aorta and an iliac branched device to preserve the right internal iliac artery. The patient was discharged without any complication. Computed tomography angiogram at one month after endovascular repair demonstrated total exclusion of the aneurysm, patent visceral branches and right internal iliac artery. No complication occurred to six-month follow-up. Conclusion Endovascular treatment of stable TAAA in patients with Behc?et's disease using custom-designed branched device is feasible, microinvasive and safe. The long-term efficacy needs to be observed.


Sign in / Sign up

Export Citation Format

Share Document