Document Detail

Ruptured isolated external iliac artery true aneurysm associated with cystic medial necrosis: report of a case.
MedLine Citation:
PMID:  19639439     Owner:  NLM     Status:  MEDLINE    
We report a case of a ruptured isolated true external iliac artery aneurysm (EIAA). A 78-year-old woman was admitted to our institution in a shock state after the sudden onset of severe pain in the right hypogastric region. A pulsating mass was found in her right lower abdomen. Computed tomography (CT) with contrast medium showed an isolated EIAA, 40 mm in diameter, with a massive retroperitoneal hematoma. She underwent emergency resection of the aneurysm and reconstruction of the affected artery, without any complications. Histological examination confirmed a true aneurysm caused by cystic medial necrosis (CMN). She had no ocular, cardiac, or orthopedic abnormalities. We review the literature on isolated true aneurysms of the external iliac artery, which are extremely rare, and discuss their clinical manifestations.
Takayoshi Kato; Hisato Takagi; Norikazu Kawai; Yasutomo Sekido; Takuya Umemoto
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-07-29
Journal Detail:
Title:  Surgery today     Volume:  39     ISSN:  1436-2813     ISO Abbreviation:  Surg. Today     Publication Date:  2009  
Date Detail:
Created Date:  2009-07-29     Completed Date:  2009-09-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  705-9     Citation Subset:  IM    
Department of Cardiovascular Surgery, Shizuoka Medical Center, Shizuoka, Japan.
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MeSH Terms
Aneurysm, Ruptured / diagnosis*,  etiology,  surgery
Contrast Media
Iliac Artery / pathology*,  surgery
Necrosis / complications
Pain / etiology
Retroperitoneal Space / pathology
Tomography, X-Ray Computed
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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