Ruptured iliac aneurysm presenting as lumbosacral plexopathy
Esra Ozkavukcu1, Erdem Cayli, Cemil Yağci
1Department of Radiology, Ankara University School of Medicine, Ankara, Turkey. eozkavukcu@gmail.com
Diagnostic and Interventional Radiology (Ankara, Turkey)
|February 29, 2008
Summary
Ruptured internal iliac aneurysms are rare but can cause chronic hematomas, leading to lumbosacral plexopathy. Prompt diagnosis involves examining extraspinal structures on lumbar CT or MRI scans.
Area of Science:
- Vascular Surgery
- Radiology
- Neurology
Background:
- Isolated internal iliac aneurysms are uncommon and often asymptomatic unless ruptured.
- Rupture can lead to significant complications, including hematoma formation.
Observation:
- A case of a ruptured internal iliac aneurysm presenting with a chronic hematoma is described.
- The hematoma caused lumbosacral plexopathy and erosion of pelvic bones.
Findings:
- Magnetic resonance imaging (MRI) and computed tomography (CT) revealed the extent of the hematoma and its effects.
- The findings highlight the importance of considering extraspinal structures in imaging.
Implications:
- Radiologists and clinicians should be vigilant for extraspinal pathology during lumbar CT and MRI.
- Prompt recognition and further pelvic imaging can expedite diagnosis of rare but serious conditions like internal iliac artery aneurysms.
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