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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
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An idiopathic left internal iliac artery aneurysm in an 11-year-old boy: a case report

Meghdad Ghasemi Gorji1, Amirhossein Baratinezhad2,3, Rojan Abdollahzadeh Mirali4,5

  • 1Department of Vascular Surgery, Shiraz University of Medical Science, Shiraz, Iran.

Journal of Medical Case Reports
|February 6, 2025
PubMed

Insights

Pediatric idiopathic isolated aneurysms are rare. Surgical excision of a left internal iliac artery aneurysm in an 11-year-old boy was successful, with no complications during follow-up.

Area of Science:

  • Vascular Surgery
  • Pediatric Surgery
  • Radiology

Background:

  • Idiopathic isolated aneurysms in children are rare, posing diagnostic and therapeutic challenges.
  • Small anatomical size and risk to surrounding structures complicate management.
  • Careful consideration is needed for timely diagnosis and intervention selection.

Purpose of the Study:

  • To report a case of successful surgical management of an isolated internal iliac artery aneurysm in a pediatric patient.
  • To highlight the feasibility of surgical intervention in complex pediatric vascular cases.

Main Methods:

  • Computed tomography imaging diagnosed an isolated left internal iliac artery aneurysm in an 11-year-old boy.
  • Open surgical excision of the aneurysm was performed.
  • Careful dissection and decompression of the adherent iliac vein were crucial.

Main Results:

  • The aneurysm was successfully excised without intraoperative or postoperative complications.
  • The patient remained asymptomatic with no signs of recurrence during follow-up.
  • Adherent and compressed iliac vein was successfully managed.

Conclusions:

  • Surgical intervention for pediatric iliac artery aneurysms is achievable with meticulous planning and surgical technique.
  • This case demonstrates the effectiveness of surgical management in pediatric patients.
  • Successful outcomes are possible even with challenging anatomical variations.
Abstract

Keywords:
Case reportIdiopathic aneurysmIliac artery aneurysmPediatric aneurysmVascular surgery

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