RESUMEN
The rupture of an internal iliac artery aneurysm in the colon is a rare but potentially fatal complication. We report a rectal fistula of an asymptomatic internal iliac artery aneurysm that was discovered incidentally during a medical examination. A 77-year-old man presented at a local hospital for a general medical examination. Although the blood reports revealed severe anemia, the patient did not complain of any associated symptoms including dizziness and hematochezia. Moreover, there was no palpable mass in the patient's abdomen, and there was no evidence of hematochezia, as the patient had been using a bidet. Interestingly, computed tomography (CT) revealed a large right internal iliac artery aneurysm. There was a suspicious finding of a fistula within the colon in the CT, but it was undetected in the preoperative sigmoidoscopy. Furthermore, operative findings showed a protruding retroperitoneal mass adhering to the mesentery of the sigmoid colon. During aneurysm resection, the presence of a fistula was unclear. However, a fistula tract, devoid of any infectious bacteria such as tuberculosis, was found in the specimen after colon resection. After a recovery period of approximately one week, the patient was discharged from the hospital without any unusual findings on the post-operative CT. Sigmoid colonic fistulas arising from iliac artery aneurysms are rare. Also, diagnosis may be delayed in special circumstances wherein a patient routinely uses a bidet.
Asunto(s)
Aneurisma Ilíaco , Humanos , Masculino , Anciano , Aneurisma Ilíaco/complicaciones , Aneurisma Ilíaco/diagnóstico por imagen , Aneurisma Ilíaco/cirugía , Aneurisma Ilíaco/diagnóstico , Tomografía Computarizada por Rayos X , Fístula Intestinal/diagnóstico , Fístula Intestinal/complicaciones , Fístula Intestinal/cirugía , Fístula Intestinal/etiología , Arteria Ilíaca/anomalías , Arteria Ilíaca/diagnóstico por imagen , Hallazgos Incidentales , Colon Sigmoide/diagnóstico por imagen , Colon Sigmoide/cirugíaRESUMEN
The coarctation of the aorta (CoA) combined with heart defects or cerebral artery aneurysms is more prevalent in clinical practice. However, cases of concurrent bilateral iliac artery dissection (IAD) are extremely rare and have not been reported. Here, we described a case with CoA combined with bilateral IAD. The patient, a 62-year-old male, presented with acute intermittent claudication accompanied by pain and aching in both lower limbs after walking. Following a thorough medical history inquiry and examination, the patient was diagnosed with acute bilateral IAD combined with CoA. The patient underwent endovascular treatment. Postoperatively, the aortic diameter recovered, and the bilateral IAD disappeared, yielding satisfactory therapeutic results. Conclusively, endovascular treatment of aortic coarctation combined with IAD is an effective therapeutic approach, enhancing patient survival and improving their quality of life.
Asunto(s)
Coartación Aórtica , Disección Aórtica , Procedimientos Endovasculares , Humanos , Masculino , Persona de Mediana Edad , Disección Aórtica/complicaciones , Disección Aórtica/diagnóstico , Disección Aórtica/cirugía , Procedimientos Endovasculares/métodos , Coartación Aórtica/complicaciones , Coartación Aórtica/cirugía , Coartación Aórtica/diagnóstico , Arteria Ilíaca , Aneurisma Ilíaco/complicaciones , Aneurisma Ilíaco/cirugía , Aneurisma Ilíaco/diagnóstico , Claudicación Intermitente/etiología , Claudicación Intermitente/diagnóstico , Resultado del Tratamiento , Calidad de VidaRESUMEN
BACKGROUND: Association of abdominal aortic aneurysm with congenital pelvic kidney is rare and association with isolated iliac artery aneurysm is not yet described in the literature. CASE PRESENTATION: We present a case of successful repair of an isolated common iliac artery aneurysm associated with a congenital pelvic kidney treated by an endovascular technique. A 75-year-old man was referred for the treatment of an asymptomatic left common iliac artery aneurysm. A computed tomography angiography revealed an isolated left common iliac artery aneurysm and a left pelvic kidney. The maximum diameter of the aneurysm was 32 mm. The congenital pelvic kidney was supplied by three small superior polar arteries that emerged from the proximal non-aneurysmal portion of the common iliac artery and the main artery that arose from the left internal iliac artery. The aneurysm exclusion was accomplished by using an iliac branch device (Gore Excluder Iliac Branch, Flagstaff, AZ). The 1 and 6 months computed tomography angiography after the procedure demonstrated complete exclusion of the aneurysm and preservation of all renal arteries. CONCLUSION: Treating patients with an association of iliac artery aneurysms and pelvic kidneys can be a challenge due the variable arterial anatomy. The use of iliac branch device is a safe and effective alternative in selected cases.
Asunto(s)
Implantación de Prótesis Vascular/métodos , Prótesis Vascular , Procedimientos Endovasculares/instrumentación , Aneurisma Ilíaco/cirugía , Enfermedades Renales/congénito , Pelvis Renal/anomalías , Anciano , Angiografía por Tomografía Computarizada , Humanos , Aneurisma Ilíaco/diagnóstico , Aneurisma Ilíaco/etiología , Enfermedades Renales/complicaciones , Enfermedades Renales/diagnóstico , Masculino , Resultado del TratamientoRESUMEN
OBJECTIVES: To compare the outcomes of using iliac branch devices (IBD) and the crossover chimney (COCh) technique for preserving the internal iliac artery (IIA) during endovascular aortic repair in patients with common iliac aneurysm (CIA). METHODS: From February 2010 to July 2016, we recruited 61 consecutive and elective patients. Thirty of them received the IBD, and the remaining 31 received the COCh. Their medical chart was reviewed retrospectively, and computed tomographic angiography was performed at 3, 6, and 12 months postoperatively and then yearly as a follow-up. RESULTS: The median follow-up time was 19.72 ± 5.45 months. The technical success rate reached 100% in both groups. The 12-month and 24-month primary IIA patency rates between IBD and COCh group were 90.00% versus 93.54% (p = 0.67) and 83.33% versus 93.54% (p = 0.25). The numbers of stents were 1.00 ± 0.00 and 1.93 ± 0.24 in the IBD and COCh group (p < 0.001). No significant difference was observed for the incidence of type 1a (IBD/COCh = 3.33%/6.45%, p > 0.99) and type 2 endoleak (IBD/COCh = 13.33%/12.90%, p > 0.99) between two groups. Neither type 1b or type 3 endoleak nor delayed aortic rupture appeared in our series. The postoperative complication rates did not exhibit significant differences either. Free from reintervention was also similar in both groups (IBD/COCh = 22.50 ± 4.62/23.00 ± 3.87 months, p = 0.64). CONCLUSIONS: The IBD and COCh techniques exhibited similar success rates and IIA patency rates at the 24-month follow-up. Both these techniques are feasible for the preservation of IIA in patients with CIA.
Asunto(s)
Implantación de Prótesis Vascular/métodos , Procedimientos Endovasculares/métodos , Aneurisma Ilíaco/cirugía , Arteria Ilíaca/cirugía , Anciano , Angiografía por Tomografía Computarizada , Procedimientos Quirúrgicos Electivos/métodos , Femenino , Estudios de Seguimiento , Humanos , Aneurisma Ilíaco/diagnóstico , Arteria Ilíaca/diagnóstico por imagen , Masculino , Diseño de Prótesis , Estudios Retrospectivos , Resultado del TratamientoRESUMEN
Resumo A incidência de aneurismas ilíacos em crianças não é conhecida, havendo apenas alguns relatos de casos na literatura sobre o tema. Neste estudo, é relatado o caso de um paciente masculino, 3 anos, com aneurisma sacular isolado na bifurcação da artéria ilíaca comum direita de origem idiopática, que foi submetido a ressecção, ligadura da artéria ilíaca interna e anastomose vascular término-terminal. Após 1 mês de seguimento, foi diagnosticada oclusão assintomática da anastomose. Devido à presença de circulação colateral, não houve repercussões clínicas da oclusão, e a criança apresentou evolução clínica favorável a médio prazo.
Abstract The incidence of iliac aneurysms in children is unknown and there are only a small number of case reports in the literature on the subject. This article describes the case of a 3-year-old male patient with an isolated saccular aneurysm at the bifurcation of the right common iliac artery, of idiopathic origin, which was repaired by resection, ligature of the internal iliac artery and end-to-end vascular anastomosis. After 1 month of follow-up, he was diagnosed with asymptomatic occlusion of the anastomosis. The occlusion had no clinical repercussions because of collateral circulation and the child has had a favorable clinical course over the medium term.
Asunto(s)
Humanos , Masculino , Preescolar , Aneurisma Ilíaco/congénito , Arteria Ilíaca/anomalías , Anastomosis Quirúrgica , Aneurisma Ilíaco/cirugía , Aneurisma Ilíaco/diagnóstico , Circulación ColateralRESUMEN
Iliac artery aneurysms are relatively uncommon, however requiring early diagnosis and treatment because of high mortality once ruptured. Endovascular correction is currently a method of choice. The standard iliac components of aortic stent grafts have a linear or distally widening shape, whereas the anatomy of aneurysms of iliac arteries requires, as a rule, a larger diameter of the proximal zone of shrinkage. Optimal is considered to be the use of reversed stent grafts, i. e. those tapering distally. The authors herein share their experience in treating iliac artery aneurysms using a flared reversed endograft of the iliac branch of the Anaconda stent graft in three patients presenting with iliac artery aneurysms. Technical success was achieved in all cases. In the remote period (6-12 months postoperatively) the grafts were patent, with no leakage.
Asunto(s)
Implantación de Prótesis Vascular , Aneurisma Ilíaco , Prótesis Vascular , Humanos , Aneurisma Ilíaco/diagnóstico , Aneurisma Ilíaco/diagnóstico por imagen , Aneurisma Ilíaco/cirugía , Arteria Ilíaca/diagnóstico por imagen , Arteria Ilíaca/cirugía , StentsAsunto(s)
Dolor Abdominal/etiología , Aneurisma Roto/cirugía , Implantación de Prótesis Vascular/métodos , Procedimientos Endovasculares/métodos , Aneurisma Ilíaco/cirugía , Dolor Abdominal/sangre , Anciano , Aneurisma Roto/sangre , Aneurisma Roto/diagnóstico , Implantación de Prótesis Vascular/instrumentación , Tratamiento de Urgencia/instrumentación , Tratamiento de Urgencia/métodos , Procedimientos Endovasculares/instrumentación , Humanos , Aneurisma Ilíaco/complicaciones , Aneurisma Ilíaco/diagnóstico , Arteria Ilíaca/diagnóstico por imagen , Arteria Ilíaca/cirugía , Masculino , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
OBJECTIVE: This study aims to analyze the early and late outcomes of our 30-year experience with mycotic aneurysms of the abdominal aorta and iliac arteries. PATIENTS AND METHODS: This retrospective cohort study compared the outcomes of all the patients with mycotic aneurysm, by analyzing prospectively collected data between September 1989 and October 2019 from the Unit of Vascular Surgery of Fondazione Policlinico Universitario Gemelli - IRCCS in Rome, Italy. RESULTS: Twenty-three patients with mycotic aneurysm were included. Twenty-two patients underwent surgery; one patient arrived at the emergency room with unstable clinical conditions and died before being treated. Fourteen cases (60.9%) were located at the infrarenal aorta, while three cases (13.0%) were pararenal aortic aneurysms. Six cases (26.1%) had an iliac arteries localization. Seventeen patients (77.3%) underwent open surgical repair aneurysmectomy with in situ reconstruction, while three cases (13.6%) underwent extra-anatomic revascularization. Three patients (13.6%) underwent the placement of an endoprosthesis, of whom two underwent hybrid procedures, and one EVAR. The latter underwent an early conversion to open repair due to a type I endoleak. The mean length of hospital stay was 35 ± 18.7 days. Five patients (22.7%) died in the immediate postoperative period. In the follow-up of 45.5 ± 41.3 months (range 2-156), we documented six deaths (35.3%), of whom two (11.8%) were aortic-related for a 34.8% overall aortic-related mortality. Eleven patients were alive, with an overall survival of 47.8%. CONCLUSIONS: Mycotic aneurysm is an extremely rare and varied pathology. Open surgical repair showed to be a safe approach because of a complete and aggressive debridement of local infected tissues, with an acceptable long-term mortality rate.
Asunto(s)
Aneurisma Infectado/cirugía , Aneurisma de la Aorta Abdominal/cirugía , Aneurisma Ilíaco/cirugía , Arteria Ilíaca/cirugía , Anciano , Anciano de 80 o más Años , Aneurisma Infectado/diagnóstico , Aneurisma de la Aorta Abdominal/diagnóstico , Femenino , Estudios de Seguimiento , Humanos , Aneurisma Ilíaco/diagnóstico , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Tomografía Computarizada por Rayos XRESUMEN
Introduction: We report a rare case of a symptomatic abdominal aneurysm presented as a lower limb deep vein thrombosis (DVT).Case presentation: A 63-year old male presented to our hospital with a recent progressive onset of the right lower limb swelling and pain. The patient had a history of a previous cardiovascular disease. A Duplex ultrasound was performed, which confirmed a right lower limb DVT extending to the right iliac vein. The patient had a pulsatile abdominal mass. Computed tomography scan of the abdomen showed an abdominal aortic and a right iliac artery aneurysm compressing the thrombosed inferior caval and the right iliac vein. The patient was treated with low molecular weight heparin. After resolution of the DVT on day 3 of hospitalization, a surgery on the abdominal and iliac artery aneurysm was performed. The aneurysm was resected and an aortobifemoral bypass was placed using a Dacron prosthesis. The patient remained to be asymptomatic for 6 months after the surgery. Follow up computed tomography demonstrated a fully patent inferior caval and iliac vein and the absence of the aneurysmal disease.Conclusion: Although rare, our case confirms that the DVT should be considered as a possible symptom of an abdominal aneurysm in selected patients.
Asunto(s)
Aneurisma de la Aorta Abdominal/complicaciones , Procedimientos Endovasculares/métodos , Aneurisma Ilíaco/complicaciones , Vena Ilíaca , Trombosis de la Vena/etiología , Aneurisma de la Aorta Abdominal/diagnóstico , Humanos , Aneurisma Ilíaco/diagnóstico , Extremidad Inferior/irrigación sanguínea , Masculino , Persona de Mediana Edad , Trombosis de la Vena/diagnóstico , Trombosis de la Vena/cirugíaAsunto(s)
Arteriopatías Oclusivas/cirugía , Síndrome de Behçet/cirugía , Embolización Terapéutica/métodos , Arteria Femoral , Aneurisma Ilíaco/diagnóstico , Complicaciones Posoperatorias , Procedimientos Quirúrgicos Vasculares/efectos adversos , Adulto , Anastomosis Quirúrgica/efectos adversos , Aneurisma Falso , Angiografía , Arteriopatías Oclusivas/diagnóstico , Síndrome de Behçet/complicaciones , Humanos , Aneurisma Ilíaco/etiología , Aneurisma Ilíaco/terapia , Masculino , Factores de Tiempo , Tomografía Computarizada por Rayos X , Ultrasonografía Doppler DúplexAsunto(s)
Aneurisma Ilíaco/diagnóstico , Arteria Ilíaca/diagnóstico por imagen , Vena Ilíaca , Tomografía Computarizada por Rayos X/métodos , Trombosis de la Vena/diagnóstico , Anciano , Constricción Patológica/diagnóstico , Constricción Patológica/etiología , Constricción Patológica/fisiopatología , Diagnóstico Diferencial , Humanos , Aneurisma Ilíaco/complicaciones , Aneurisma Ilíaco/cirugía , Arteria Ilíaca/cirugía , Vena Ilíaca/diagnóstico por imagen , Vena Ilíaca/fisiopatología , Procesamiento de Imagen Asistido por Computador , Extremidad Inferior/irrigación sanguínea , Masculino , Resultado del Tratamiento , Injerto Vascular/métodosRESUMEN
OBJECTIVES: To prevent buttock claudication, we performed endovascular aortic aneurysm repair (EVAR) for isolated internal iliac aneurysms (IIAAs) with selective preservation of the superior gluteal artery (SGA) flow. This study evaluates early clinical outcomes of this treatment. METHODS AND RESULTS: We retrospectively evaluated 6 patients with isolated IIAA who underwent EVAR under local anesthesia between October 2017 and July 2018 at Tokyo Women's Medical University Hospital. We used self-expanding stent grafts to exclude the IIAA while preserving SGA flow. If necessary, we occluded the inferior gluteal artery and other branches with vascular plugs to prevent type II endoleak. The mean proximal neck diameter and length of the IIAAs to be 9.4 ± 2.4 mm and 17.7 ± 11.3 mm. The mean diameter of the SGA was 6.5 ± 0.9 mm. There were no procedural complications, and the mean procedure time was 84 ± 24 min. All patients were free from buttock claudication at follow-up. Postoperative computed tomography demonstrated a 100% primary patency rate of the SGA stent graft: there was no case of migration or endoleak. CONCLUSION: EVAR for IIAAs with SGA flow preservation shows favorable early clinical outcomes. To prevent buttock claudication, SGA flow is necessary and sufficient. This novel approach is less invasive compared to conventional IIAA repair.
Asunto(s)
Implantación de Prótesis Vascular/métodos , Nalgas/irrigación sanguínea , Procedimientos Endovasculares/métodos , Aneurisma Ilíaco/cirugía , Arteria Ilíaca/cirugía , Flujo Sanguíneo Regional/fisiología , Stents , Anciano , Anciano de 80 o más Años , Angiografía , Femenino , Estudios de Seguimiento , Humanos , Aneurisma Ilíaco/diagnóstico , Aneurisma Ilíaco/fisiopatología , Arteria Ilíaca/diagnóstico por imagen , Masculino , Estudios Retrospectivos , Factores de Tiempo , Tomografía Computarizada por Rayos X , Resultado del TratamientoAsunto(s)
Aneurisma Infectado/cirugía , Aneurisma de la Aorta/cirugía , Implantación de Prótesis Vascular , Endocarditis Bacteriana/cirugía , Procedimientos Endovasculares , Enterococcus faecalis/aislamiento & purificación , Infecciones por Bacterias Grampositivas/cirugía , Implantación de Prótesis de Válvulas Cardíacas , Aneurisma Ilíaco/cirugía , Aneurisma Intracraneal/cirugía , Insuficiencia de la Válvula Mitral/cirugía , Válvula Mitral/cirugía , Aneurisma Infectado/diagnóstico , Aneurisma Infectado/microbiología , Antibacterianos/administración & dosificación , Aneurisma de la Aorta/diagnóstico , Aneurisma de la Aorta/microbiología , Endocarditis Bacteriana/diagnóstico , Endocarditis Bacteriana/microbiología , Infecciones por Bacterias Grampositivas/diagnóstico , Infecciones por Bacterias Grampositivas/microbiología , Humanos , Aneurisma Ilíaco/diagnóstico , Aneurisma Ilíaco/microbiología , Aneurisma Intracraneal/diagnóstico , Aneurisma Intracraneal/microbiología , Masculino , Persona de Mediana Edad , Válvula Mitral/microbiología , Insuficiencia de la Válvula Mitral/diagnóstico , Insuficiencia de la Válvula Mitral/microbiología , Resultado del TratamientoRESUMEN
BACKGROUND: Maintenance of pelvic circulation has been connected to reduced risks of ischemic colitis, buttock claudication, erectile dysfunction, and spinal cord ischemia during the treatment of extensive aortoiliac aneurysmal disease. We evaluate the mid-to-late follow-up of a cohort of patients treated using 1 preservation technique, the endovascular external iliac artery (EIA) to internal iliac artery (IIA) bypass. METHODS: All patients undergoing elective retrograde EIA-IIA endovascular bypass at a single institution were retrospectively reviewed over a 10-year period from 2006 to 2016. Anatomic inclusion criteria were single or bilateral common iliac artery aneurysms with or without concomitant aortic aneurysm limiting distal landing zone for endovascular repair and an iliac bifurcation angle greater than 45°. Procedures were performed using aortouni-iliac (AUI) endografts extended to 1 EIA (with endovascular occlusion of the ipsilateral hypogastric artery), cross-femoral artery bypass, and retrograde placement of 1 of 3 types of covered stent grafts into the contralateral IIA. In the case of patients with prior open repair, AUI placement was not required. Follow-up surveillance included duplex ultrasound 1 and 6 months postoperatively and annually thereafter, with computed tomography scan (with selective contrast usage) 1 month postoperatively and annually thereafter. RESULTS: Seventeen patients (mean age 70 years, 93% male) were treated over the period studied. Most were treated for primary disease (N = 11) while the remainder was secondary interventions following open repair (N = 4) or endovascular aneurysm repair (N = 2). Nine patients had bilateral common iliac aneurysms, one had bilateral IIA aneurysms, and the remainder had unilateral iliac aneurysmal degeneration with occluded or severely diseased ipsilateral hypogastric arteries. There was no preference for laterality (right iliac N = 8, left iliac N = 9). Retrograde bypasses were performed using Fluency stent graft (N = 1), Viabahn stent graft (N = 13), or Gore Excluder limbs (N = 3). Additional hypogastric embolization with AUI extension to the EIA (for bilateral common iliac aneurysms) was required in 6 patients. Proximal extension requiring snorkel/fenestration was present in 5 patients. Technical success was 100% with mean operative time was 168 min (range 50-300 min), and 71 cc contrast usage (range 30-115 cc). Mean preoperative iliac artery aneurysm size was 4.0 cm with iliac bifurcation angle 71° (range 51-102°). Median length of stay was 3 days (range 1-13). Over mean follow-up of 29.8 months, there were no aorta-related mortalities, 1 EIA-IIA bypass occlusion (asymptomatic), and 1 reintervention (for type II endoleak not attributed to the EIA-IIA bypass). There were no additional endoleaks and no sac growth. The incidence of bowel ischemia, paralysis, and bowel/bladder dysfunction was zero in the series. CONCLUSIONS: Retrograde endovascular EIA-IIA bypass provides a low risk, high patency option for preservation of a single hypogastric artery with resultant maintenance of pelvic circulation.
Asunto(s)
Aorta/cirugía , Aneurisma de la Aorta/cirugía , Implantación de Prótesis Vascular/métodos , Procedimientos Endovasculares/métodos , Aneurisma Ilíaco/cirugía , Arteria Ilíaca/cirugía , Pelvis/irrigación sanguínea , Anciano , Aorta/diagnóstico por imagen , Aorta/fisiopatología , Aneurisma de la Aorta/diagnóstico por imagen , Aneurisma de la Aorta/fisiopatología , Aortografía/métodos , Prótesis Vascular , Implantación de Prótesis Vascular/efectos adversos , Implantación de Prótesis Vascular/instrumentación , Angiografía por Tomografía Computarizada , Procedimientos Quirúrgicos Electivos , Embolización Terapéutica , Procedimientos Endovasculares/efectos adversos , Procedimientos Endovasculares/instrumentación , Femenino , Humanos , Aneurisma Ilíaco/diagnóstico , Aneurisma Ilíaco/fisiopatología , Arteria Ilíaca/diagnóstico por imagen , Arteria Ilíaca/fisiopatología , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/etiología , Flujo Sanguíneo Regional , Estudios Retrospectivos , Factores de Riesgo , Stents , Factores de Tiempo , Resultado del Tratamiento , Ultrasonografía Doppler DúplexAsunto(s)
Embolización Terapéutica/efectos adversos , Aneurisma Ilíaco/terapia , Arteria Ilíaca/diagnóstico por imagen , Anomalía Torsional/etiología , Anciano , Angiografía por Tomografía Computarizada , Humanos , Aneurisma Ilíaco/diagnóstico , Procesamiento de Imagen Asistido por Computador , Masculino , Anomalía Torsional/diagnósticoRESUMEN
Ruptured iliac artery may initially clinically mimic an isolated inferior limb venous involvement. It was indeed an acute iliac artery dissection complicated by contained rupture and misdiagnosed as inferior limb venous thrombosis that led to the death of Thomas Mann in 1955. The details of the complex case are analyzed. Considerations of medical interest and on actuality of his work are also added.
Asunto(s)
Disección Aórtica/historia , Errores Diagnósticos/historia , Personajes , Aneurisma Ilíaco/historia , Escritura/historia , Disección Aórtica/diagnóstico , Causas de Muerte , Historia del Siglo XX , Aneurisma Ilíaco/diagnóstico , Premio Nobel , Valor Predictivo de las PruebasRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Anciano de 80 o más Años , Aneurisma Ilíaco/diagnóstico , Ciática/diagnóstico , Síndromes de Compresión Nerviosa/diagnóstico , Espera Vigilante , Músculos Isquiosurales/lesionesRESUMEN
A 71-year-old male presented with periumbilical ecchymosis formed after acute onset of abdominal pain and near collapse. At the time of presentation the haematoma was the only symptom. Following a CT scan, the diagnosis of a contained rupture of an iliac artery aneurysm was made. The patient was successfully treated with an endovascular stent graft.
Asunto(s)
Dolor Abdominal/etiología , Aneurisma Ilíaco/diagnóstico , Aneurisma Ilíaco/cirugía , Stents , Dolor Abdominal/diagnóstico , Anciano , Hematoma , Humanos , Masculino , Tomografía Computarizada por Rayos XRESUMEN
Venous aneurysms are rare lesions, they have been reported in most venous territories. Abdominal location is unusual. A 61-year-old man presented with chest pain and dyspnea attributed to pulmonary embolism. Computed tomography of the abdomen showed multiple thrombosed venous aneurysms of the left external iliac vein and the inferior vena cava. There were no signs of rupture. The patient received anticoagulant treatment. He had no surgical treatment.