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Internal iliac artery pseudoaneurysm: a rare presentation with foot drop and sciatica
Pradeep Ramakrishnan1, Milind Padmakar Hote1, Nanditha Sreedhar2
1Department of Cardiothoracic and Vascular Surgery, CTVS Office, All India Institute of Medical Sciences(AIIMS), 7th floor, C N centre, New Delhi, 110029 India.
Abstract:
Internal iliac artery pseudoaneurysm is rare in incidence with most of them being asymptomatic. It may present with neurologic symptoms like paraesthesia, sciatica, weakness of lower limb, foot drop, etc., and in such scenario, high index of suspicion is needed to diagnose. Early intervention should be the strategy in all symptomatic and in asymptomatic cases with size > 4 cm diameter. We present a case of a 40-year-old female with left internal iliac artery pseudoaneurysm who presented with foot drop and sciatica, which is a very rare presentation, and was managed successfully by resection and interposition grafting.
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