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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.
Indian Journal of Thoracic and Cardiovascular Surgery
|October 16, 2020
Summary
Internal iliac artery pseudoaneurysm, though rare, can cause neurological symptoms. This case highlights successful surgical management of a symptomatic pseudoaneurysm presenting as foot drop and sciatica.
Area of Science:
- Vascular Surgery
- Neurology
- Radiology
Background:
- Internal iliac artery pseudoaneurysms are uncommon vascular lesions.
- Most cases are asymptomatic, but neurological deficits can occur.
Observation:
- A 40-year-old female presented with foot drop and sciatica.
- This rare presentation was attributed to an internal iliac artery pseudoaneurysm.
Findings:
- The patient's symptoms of foot drop and sciatica were directly linked to the internal iliac artery pseudoaneurysm.
- Successful surgical intervention involved resection and interposition grafting.
Implications:
- Highlights the importance of considering internal iliac artery pseudoaneurysm in patients with unexplained neurological symptoms.
- Emphasizes early intervention for symptomatic pseudoaneurysms or those exceeding 4 cm.
- Demonstrates the efficacy of surgical repair for managing complex cases.
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