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Recurrent giant hypogastric artery aneurysms--a case report
R L Golden1, J Bauman, M Johnstone
1School of Medicine, State University of New York (SUNY), Stony Brook.
Angiology
|July 1, 1988
Summary
Hypogastric artery aneurysms are rare and often asymptomatic until rupture. This report details a successful surgical management of a rare bilateral, giant hypogastric artery aneurysm case.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Abdominal Aortic Aneurysms
Background:
- Hypogastric artery aneurysms are uncommon vascular conditions.
- They often present asymptomatically until rupture, posing a diagnostic challenge.
- Ruptured aneurysms can cause significant compression symptoms affecting multiple organ systems.
Observation:
- Pulsatile pelvic masses detected via physical examination are a key clinical sign.
- Noninvasive imaging like ultrasonography, CT, and MRI are crucial for diagnosis.
- Classical invasive angiography remains a detection method.
Findings:
- The study reports a rare case of bilateral, giant hypogastric artery aneurysms.
- Successful surgical management was achieved for this complex presentation.
- Proximal ligation is the standard treatment approach for hypogastric artery aneurysms.
Implications:
- Highlights the importance of considering rare vascular pathologies in pelvic mass evaluations.
- Emphasizes the role of advanced imaging in diagnosing hypogastric artery aneurysms.
- Demonstrates the feasibility of surgical intervention for large, bilateral hypogastric artery aneurysms.
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