Ruptured mycotic iliac artery aneurysm presenting as infected psoas haematoma and mimicking psoas abscess

Abstract Background Association of abdominal aortic aneurysm with congenital pelvic kidney is rare and association with isolated iliac artery aneurysm is not yet described in the literature. Case presentation We present a case of successful repair of an isolated common iliac artery aneurysm associated with a congenital pelvic kidney treated by an endovascular technique. A 75-year-old man was referred for the treatment of an asymptomatic left common iliac artery aneurysm. A computed tomography angiography revealed an isolated left common iliac artery aneurysm and a left pelvic kidney. The maximum diameter of the aneurysm was 32 mm. The congenital pelvic kidney was supplied by three small superior polar arteries that emerged from the proximal non-aneurysmal portion of the common iliac artery and the main artery that arose from the left internal iliac artery. The aneurysm exclusion was accomplished by using an iliac branch device (Gore Excluder Iliac Branch, Flagstaff, AZ). The 1 and 6 months computed tomography angiography after the procedure demonstrated complete exclusion of the aneurysm and preservation of all renal arteries. Conclusion Treating patients with an association of iliac artery aneurysms and pelvic kidneys can be a challenge due the variable arterial anatomy. The use of iliac branch device is a safe and effective alternative in selected cases.

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Secondary Rupture of an Iliac Artery Aneurysm After Exclusion-Bypass

Annals of Vascular Surgery ◽

10.1007/bf02001897 ◽

1996 ◽

Vol 10 (3) ◽

pp. 296-299 ◽

Cited By ~ 7

Author(s):

Michel Batt ◽

André Rogopoulos ◽

Hervé Bariseel ◽

Georges Avril ◽

Reda Hassen-Khodja ◽

...

Keyword(s):

Iliac Artery ◽

Artery Aneurysm ◽

Iliac Artery Aneurysm

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A rare cause of massive haematuria: Internal iliac artery-ureteric fistula

Vascular ◽

10.1177/1708538114538623 ◽

2014 ◽

Vol 23 (2) ◽

pp. 193-196 ◽

Cited By ~ 2

Author(s):

Ahsan M Rao ◽

Ahmed Khalil ◽

Stuart Suttie

Keyword(s):

Iliac Artery ◽

Internal Iliac Artery ◽

Artery Aneurysm ◽

Computerised Tomography ◽

Subsequent Infection ◽

Arterial Tree ◽

Iliac Artery Aneurysm ◽

Internal Iliac Artery Aneurysm ◽

Internal Iliac ◽

Uncommon Condition

Ureteric fistula into the arterial tree is a well-recognised, but uncommon condition. The involvement of internal iliac artery is rare. We present a rare case of fistulous communication and subsequent infection of an internal iliac artery aneurysm and ureter secondary to insertion of ureteric stent following endovascular exclusion of the aneurysm and its management. Nephrostogram identified the fistula not seen on computerised tomography. This case highlights the awareness of such pathology allowing for prompt recognition of the condition and importance of appropriate imaging.

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Iliac Artery Aneurysm Repair with Preservation of a Single Ectopic Pelvic Kidney

Texas Heart Institute Journal ◽

10.14503/thij-13-3724 ◽

2015 ◽

Vol 42 (1) ◽

pp. 61-62

Author(s):

Aurelio Sarralde ◽

Carolina Perez-Negueruela ◽

José M. Bernal

Keyword(s):

Renal Artery ◽

Iliac Artery ◽

Saline Solution ◽

Bypass Graft ◽

Artery Aneurysm ◽

Systemic Circulation ◽

Pelvic Kidney ◽

Iliac Artery Aneurysm ◽

Cold Saline ◽

One Year

An ultrasonographic study in a 60-year-old man incidentally detected an iliac artery aneurysm that gave rise to the renal artery of a single ectopic pelvic kidney. Renal-preservation solution could not be used during surgery, because the unclamped renal vein would have enabled the solution to enter the systemic circulation. Therefore, cold saline solution was infused through the renal ostium, and the kidney was maintained under cold saline immersion. We performed aortoiliac bypass and then implanted the renal artery into the bypass graft. Postoperatively, the patient's serum creatinine level increased; after one year, his renal function was normal. We discuss our use of cold saline solution for renal preservation.

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Coil embolisation of an internal iliac artery aneurysm after surgical repair of an infrarenal aortic aneurysm

VASA ◽

10.1024/0301-1526.36.2.138 ◽

2007 ◽

Vol 36 (2) ◽

pp. 138-142 ◽

Cited By ~ 2

Author(s):

Sixt ◽

Rastan ◽

Schwarzwälder ◽

Schwarz ◽

Frank ◽

...

Keyword(s):

Aortic Aneurysm ◽

Iliac Artery ◽

Internal Iliac Artery ◽

Artery Aneurysm ◽

High Morbidity ◽

Coil Embolisation ◽

Iliac Artery Aneurysm ◽

Cross Sectional ◽

Infrarenal Aortic Aneurysm ◽

Internal Iliac

We report a case of an 86-year-old asymptomatic patient, who underwent a repair of the infrarenal abdominal aortic aneurysm 13 years ago. He presented with a left internal iliac artery (IIA) aneurysm with a short neck of 3 mm, and a partially thrombosed lumen with a cross sectional diameter of 5.6 cm and a length of 8.9 cm. With respect to the high morbidity and mortality and awareness of the recommendation to treat aneurysms larger than 3 cm in diameter, we discussed the optimal treatment options. As endoprosthesis implantation was not feasible we performed a selective coil embolisation of the distal branches of the left internal artery, which successively lead to a complete thrombosis of the aneurysm. Although coiling additive to other procedures is applied frequently, only few cases of internal iliac aneurysm were treated with coil embolisation alone. During a first outpatient visit 2 months following the procedure the aneurysm was still completely thrombosed.

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