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Bilateral isolated internal iliac aneurysms presenting as pelvic tumours
M Päivänsalo1, S Lähde, A Leinonen
1Department of Diagnostic Radiology, University of Oulu, Finland.
Rontgen-Blatter; Zeitschrift Fur Rontgen-Technik Und Medizinisch-Wissenschaftliche Photographie
|November 1, 1987
Summary
A rare case of bilateral isolated internal iliac artery aneurysms was diagnosed in a 74-year-old male. Imaging revealed pelvic expansion, leading to the identification of these significant vascular conditions.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
Background:
- Internal iliac artery aneurysms are rare, often asymptomatic, and challenging to diagnose.
- Bilateral involvement is exceptionally uncommon, complicating clinical presentation and management.
Observation:
- A 74-year-old male presented with sudden right lower abdominal pain.
- Initial ultrasonography showed a hematoma; subsequent ultrasonography revealed pelvic expansion without clear etiology.
- Computed tomography (CT) provided pathognomonic findings for bilateral aneurysms.
Findings:
- Digital subtraction angiography confirmed bilateral internal iliac artery aneurysms.
- The diagnostic pathway highlights the limitations of initial imaging modalities.
Implications:
- This case underscores the importance of advanced imaging like CT and DSA in diagnosing rare vascular pathologies.
- Accurate and timely diagnosis of bilateral internal iliac artery aneurysms is crucial for preventing rupture and guiding surgical intervention.