scholarly journals Rupture of an infected iliac artery pseudoaneurysm caused by asymptomatic gastrointestinal foreign body perforation

2020 ◽  
Vol 48 (7) ◽  
pp. 030006052094208 ◽  
Author(s):  
Yu Lun ◽  
Han Jiang ◽  
Shijie Xin ◽  
Jian Zhang

We report a unique case of a ruptured iliac artery pseudoaneurysm caused by asymptomatic gastrointestinal perforation and retroperitoneal abscess formation. A 46-year-old man presented to the Emergency Department of our institution. Angiography showed a ruptured iliac artery pseudoaneurysm caused by retroperitoneal abscess formation. After endovascular repair and surgical drainage, the cause of the abscess was finally identified as a toothpick. Findings from this case show that asymptomatic gastrointestinal foreign body perforation can be a rare, but insidious, cause of an infected pseudoaneurysm. Prompt surgical intervention is sometimes necessary when treating patients with arterial pseudoaneurysm caused by a perivascular abscess.

2020 ◽  
pp. 153857442096573
Author(s):  
Takahiro Tokuda ◽  
Yasuhiro Oba ◽  
Ryoji Koshida ◽  
Ai Kagase ◽  
Hiroaki Matsuda ◽  
...  

The case of an 80-year-old male with claudication of his left foot who was referred to our hospital for evaluation and treatment. Computed tomography (CT) angiography revealed occlusion of left common and external iliac (EIA) arteries. Recanalization of the EIA lesion under intravascular ultrasound (IVUS) guidance and placement of 2 stent grafts was completed successfully. Nine months later, 27 × 29 mm pseudoaneurysm of the left EIA was identified that appeared to have developed secondary to migration of the original stent graft. A new stent graft was placed.


2019 ◽  
Vol 12 (5) ◽  
pp. e226661 ◽  
Author(s):  
Awni D Shahait ◽  
Cristian Chagas ◽  
Shakir Hussein ◽  
Zeenat Bhat

Vascular intrapelvic complications due to total hip arthroplasty failure are uncommon, with less than 30 cases reported in the literature. Herein, we report a case of unusual asymptomatic delayed vascular complication after 10 years from right total hip arthroplasty. A man in mid-50s, with multiple comorbidities including end-stage renal disease. The patient was admitted for the renal transplant surgery. Intraoperatively, right external iliac artery pseudoaneurysm was discovered, which required the transplantation to be done on the left side. After recovery from the renal transplant surgery, the patient underwent resection of the right external iliac artery pseudoaneurysm with primary anastomosis by vascular surgery, with resection of the migrated screw by orthopaedic surgery.


2011 ◽  
Vol 2011 ◽  
pp. 1-6
Author(s):  
Sarah Palestrant ◽  
M. Grace Knuttinen ◽  
Ron C. Gaba ◽  
James T. Bui ◽  
Charles A. Owens

Conventional absolute contraindications to catheter-directed thrombolysis include active or recent hemorrhage and the presence of local vascular infection, both of which increase the risk of procedure-related complications such as bleeding and systemic sepsis. For this reason, lytic therapy of arterial thromboembolism under these circumstances is generally precluded. Herein, we describe a unique case of safe catheter-directed lysis of an acutely thrombosed iliac artery following covered stent placement for treatment of an actively bleeding infected pseudoaneurysm. Our management approach is discussed.


2009 ◽  
Vol 8 (6) ◽  
pp. 654-660 ◽  
Author(s):  
U. M. Bracale ◽  
F. Carbone ◽  
L. del Guercio ◽  
D. Viola ◽  
F. P. D'Armiento ◽  
...  

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