A Case of Chronic Contained Rupture of a Common Iliac Artery Aneurysm Induced by Trauma.
10.4326/jjcvs.26.59
- VernacularTitle:外傷が誘因となった総腸骨動脈りゅう慢性破裂の一例
- Author:
Keiko Miyazaki
;
Kazuhiro Myojin
;
Jun Matano
;
Tatsuya Murakami
;
Takashi Kunihara
;
Junichi Oka
- Publication Type:Journal Article
- Keywords:
sealed rupture;
chronic contained rupture
- From:Japanese Journal of Cardiovascular Surgery
1997;26(1):59-61
- CountryJapan
- Language:Japanese
-
Abstract:
We experienced a surgically treated case of chronic contained rupture of a common iliac artery aneurysm. A large number of cases of chronic contained ruptures of the abdominal aorta have been reported; however, that of the common iliac artery is very rare. A 66-year-old man was injured in a bicycle accident. Three months later, the patient felt a dull abdominal pain and noticed a tumor in the left lower abdomen. On presenting computed tomography (CT) scan revealed an aneurysm of the left common iliac artery. After further examinations, a contained rupture of the left common iliac artery aneurysm was diagnosed. At operation, the main aneurysm, 7.5×6.5cm in size, was seen in the left common iliac artery, extending to the right common iliac artery and the infrarenal abdominal aorta. A 5.0×3.0cm tear, was found oil the posterior wall of the left common iliac aneurysm, surrounded by a huge hematoma. The aneurysm was resected and the abdominal aorta and the common iliac arteries were replaced with a Bard Albumin-coated DeBakey vascular bifurcated graft (16×8mm). The postoperative course was uneventful.
