Atypical presentation of melorheostosis with soft tissues involvement: a case report

Abstract Background Melorheostosis is a skeletal disorder giving rise to a dripping wax appearance. The exact cause is still unclear, and the diagnosis is always challenging due to its wide differential diagnoses. Soft tissue involvement of melorheostosis has been reported in previous literatures but it is a rare phenomenon. Case presentation A 10-year-old child with melorheostosis presented with hematuria. Ultrasonography (USG) identified a cystic lesion in the right hemipelvis adjacent to the urinary bladder which was initially regarded as an ovarian cyst. Computed tomography (CT) confirmed the cystic lesion as a fusiform right internal iliac artery aneurysm, as well as multiple right retroperitoneal and right lower limb capillary hemangiomas with uterine involvement. Hence, the final diagnosis was atypical melorheostosis with vascular malformations. The patient was managed conservatively with Sirolimus therapy for the vascular anomalies. Conclusion Albeit the rare involvement of soft tissues, careful search for vascular malformation is recommended in melorheostosis.

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A Unique Indication for the Altura Endograft to Repair Bilateral Common Iliac Artery Aneurysms Associated with a Short–Infrarenal Aorta

Aorta ◽

10.1055/s-0040-1702142 ◽

2020 ◽

Vol 08 (02) ◽

pp. 041-045

Author(s):

Stavros K. Kakkos ◽

Chrysanthi P. Papageorgopoulou ◽

Konstantinos Katsanos ◽

Peter Zampakis ◽

Athina Siampalioti ◽

...

Keyword(s):

Iliac Artery ◽

Common Iliac Artery ◽

Artery Aneurysm ◽

Infrarenal Aorta ◽

Iliac Artery Aneurysm ◽

Internal Iliac ◽

The Right ◽

Stage Renal Disease ◽

End Stage ◽

Tomographic Angiography

AbstractA 71-year-old man with end-stage renal disease on hemodialysis presented with bilateral common iliac artery aneurysms diagnosed during the workup of his chronic kidney disease. On computed tomography angiography, common iliac artery aneurysm diameters measured 6.1 cm on the right side and 3.1 cm on the left side. The infrarenal aorta also had a small 3.2-cm aneurysm, but the length from the lowest left renal to the aortic bifurcation was only 6.7 cm, precluding use of most bifurcated endografts. Following an uneventful staged preoperative internal iliac artery embolization, a two-piece D-shaped Altura endograft for the aorta, with bilateral iliac components, landing at the level of the external iliac arteries was successfully performed. Postoperative course was uneventful with no endoleak or endograft migration on computerized tomographic angiography 45 days later, although billowing mimicking an endoleak was evident and will be closely followed.

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Fornix Rupture in Duplex Kidney due to Internal Iliac Artery Aneurysm

Case Reports in Urology ◽

10.1155/2016/5042456 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4

Author(s):

Phitsanu Mahawong ◽

Tanop Srisuwan ◽

Kittipan Rerkasem

Keyword(s):

Iliac Artery ◽

Internal Iliac Artery ◽

Artery Aneurysm ◽

Abdominal Ultrasound ◽

Selective Embolization ◽

Iliac Artery Aneurysm ◽

Duplex Kidney ◽

Internal Iliac Artery Aneurysm ◽

Internal Iliac ◽

The Right

A 70-year-old man presented with severe pain on the right side of the abdomen for 7 days. An abdominal CT angiographic scan showed an impending rupture of a large right internal iliac artery aneurysm which compressed to a right ureter causing hydroureteronephrosis. Fornix rupture of a right duplex kidney was also detected. Selective embolization of right gluteal arteries and then ligation of the right internal iliac artery and right ureterotomy with double J stenting were performed. At the 4-month follow-up appointment, an abdominal ultrasound demonstrated a decrease in the size of the aneurysm and no hydroureteronephrosis after the removal of double J stent.

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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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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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