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Ruptured external iliac artery aneurysm: A case report
Milad Sarafi1, Donya Hatami2, Kiarash Ansari2
1Department of Surgery, Surgery Research Center, School of Medicine, Rasool-E Akram Hospital, Iran University of Medical Sciences, P.O Box: 14665-354, Tehran, Iran.
International Journal of Surgery Case Reports
|June 28, 2024
Summary
This case highlights a rare giant external iliac artery (EIA) aneurysm rupture. Open surgical repair was performed, but the patient experienced a cardiac arrest post-operatively.
Area of Science:
- Vascular Surgery
- Aneurysm Research
Background:
- Iliac artery aneurysms are uncommon, accounting for 2% of all aneurysms.
- External iliac artery (EIA) aneurysms are exceptionally rare with unknown etiology.
Observation:
- An 85-year-old male presented with acute abdominal and lower limb pain.
- A CT scan revealed an 80 mm EIA aneurysm with active leakage.
Findings:
- The patient underwent successful open surgical repair of the EIA aneurysm.
- Post-surgery, the patient suffered a cardiac arrest and could not be revived.
Implications:
- Ruptured EIA aneurysms pose critical conditions requiring prompt intervention.
- Open repair remains a primary option for ruptured aneurysms, especially in hemodynamically unstable patients.
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