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Bilateral Spontaneous Dissecting Common Iliac Artery Aneurysms: A Rare Presentation.
MedLine Citation:
PMID:  23312774     Owner:  NLM     Status:  Publisher    
BACKGROUND: Spontaneous iliac artery dissection is a rare clinical entity, reported previously in pregnant patients in association with collagen vascular disease, and in cases of high-energy trauma or intensive activity in athletes. OBJECTIVE: To alert clinicians to the incidence of spontaneous iliac artery dissection in the absence of any risk factors. CASE REPORT: We report a case of a 45-year-old man brought into the Emergency Department with severe lower abdominal pain. Computed tomography angiography revealed bilateral common iliac artery dissecting aneurysms with a dissection flap extending into the left internal iliac artery. CONCLUSIONS: This case demonstrates that despite being a rare condition, in cases of acute lower abdominal, inguinal or lower back pain, even in the absence of risk factors and limb ischemia, emergency physicians should maintain a broad differential that includes intra-abdominal/pelvic vascular pathology such as iliac artery dissection.
Kevin D Goodman; Harsh P Sule
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-9
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  -     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 Elsevier Inc. All rights reserved.
Department of Emergency Medicine, Thomas Jefferson University & Hospitals, Philadelphia, Pennsylvania.
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