Images in clinical medicine | Volume 38, Article 151, 10 Feb 2021 | 10.11604/pamj.2021.38.151.28022

Isolated common iliac artery aneurysm

Othman Zahdi, Brahim Lekehal

Corresponding author: Othman Zahdi, Vascular Surgery Department, Ibn Sina University Hospital Centre, Rabat 10104, Morocco

Received: 24 Jan 2021 - Accepted: 03 Feb 2021 - Published: 10 Feb 2021

Domain: Vascular surgery

Keywords: Iliac artery, isolated aneurysm, open repair

©Othman Zahdi et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Othman Zahdi et al. Isolated common iliac artery aneurysm. Pan African Medical Journal. 2021;38:151. [doi: 10.11604/pamj.2021.38.151.28022]

Available online at: https://www.panafrican-med-journal.com/content/article/38/151/full

Home | Volume 38 | Article number 151

Images in clinical medicine

Isolated common iliac artery aneurysm

Isolated common iliac artery aneurysm

Othman Zahdi1,2,&, Brahim Lekehal1,2

 

1Mohammed V University in Rabat, Rabat, Morocco, 2Vascular Surgery Department, Ibn Sina University Hospital Centre, Rabat 10104, Morocco

 

 

&Corresponding author
Othman Zahdi, Vascular Surgery Department, Ibn Sina University Hospital Centre, Rabat 10104, Morocco

 

 

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A 67-year-old male consulted for abdominal pain dating back one month. The patient had as cardiovascular risk factors smoking and arterial hypertension. The physical examination found a pulsatile abdominal mass, in the right iliac fossa, the peripheral pulses were palpated bilaterally and symmetrically. A computerized tomography (CT scan) angiography revealed an isolated aneurysm of the right common iliac artery measuring 40mm in diameter, without proximal neck, and extended to the iliac bifurcation (A). The surgical indication was justified by the high risk of rupture. An open surgical repair was preferred to endovascular repair given the anatomical layout. After a midline laparotomy, the aneurysm was individualized carefully by a transperitoneal approach, and the aorta and the distal iliac arteries were controlled (B). The aneurysm was opened, an arterial reconstruction was done using a bifurcated pollster graft (16/8mm), with an aortic proximal end to end anastomosis below the inferior mesenteric artery. Two distal end to end anastomosis on the left common iliac artery, and right hypogastric artery, with reimplantation of the external artery laterally on the right leg of the graft (C). The postoperative course was uneventful, and the patient was discharged on the 5th day. He was reviewed at three months' follow-up, with good patency of the arterial restoration.

Figure 1: A) CT scan angiogram showing right common iliac artery aneurysm; B) intraoperative view of the isolated aneurysm and the control of aorta and distal iliac arteries; C) operative view of the arterial reconstruction

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Isolated common iliac artery aneurysm

Images in clinical medicine

Isolated common iliac artery aneurysm

Images in clinical medicine

Isolated common iliac artery aneurysm

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Iliac artery

Isolated aneurysm

Open repair

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