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Spontaneous iliac artery aneurysm-ureteric fistula
P D Grime1, C C Wilmshurst, C A Clyne
1Vascular Surgical Unit, Torbay Hospital, Torquay, Devon, U.K.
European Journal of Vascular Surgery
|October 1, 1989
Summary
Isolated iliac artery aneurysms are rare and can rupture into nearby organs. This case details a unique spontaneous rupture into a ureter, causing significant hematuria.
Area of Science:
- Vascular surgery
- Urology
Background:
- Isolated iliac artery aneurysms are uncommon, occurring significantly less frequently than aortic aneurysms.
- These aneurysms can present with symptoms related to compression of adjacent pelvic structures.
Observation:
- The case describes a rare spontaneous rupture of an isolated iliac artery aneurysm.
- The rupture occurred directly into the ureter, a previously undocumented event.
Findings:
- Massive hematuria was the primary clinical manifestation resulting from the aneurysm's rupture into the ureter.
- This represents only the third reported instance of an isolated iliac artery aneurysm rupturing into a urinary tract organ.
Implications:
- Highlights the potential for unusual rupture patterns in isolated iliac artery aneurysms.
- Emphasizes the importance of considering rare urological complications in patients with iliac artery aneurysms.