Iliac Artery Dissection: A Case Report

Year 2020, , 31 - 34, 09.10.2020

Muhammed Ekmekyapar , Hakan Oğuztürk , Tuba Ekmekyapar Şükrü Gürbüz , Serdar Derya

https://doi.org/10.33706/jemcr.607120

Abstract

Introduction: Iliac artery aneurisms are generally
observed in association with abdominal aortic aneurisms Iliac artery dissection
happens to be one of the rarely encountered cases, and very few cases have been
reported in literature.

Case: A male, 34-years old patient applied
to the emergency service with complaints of abdominal pain and paresthesia in
his left leg. There was no pain or loss of strength in the left leg
of the patient, but there was a numbness described by the patient himself The computerized
brain tomography of the patient was considered as normal, but his abdominal
ultrasonography was reported as “an aneurismal dilatation in both iliac artery on
the bifurcation level on a nearly 3 cm-segment, reaching up to 3 cm at the
widest section and a mural thrombus reaching up to 70% stenosis within the vein
lumen were observed”. Thereon, the patient went through a CT-angiogram, and as
a result, dissection was observed in the left iliac artery together with
aneurismal dilatation and mural thrombus in both iliac arteries. The
patient was hospitalized in the intensive care unit of cardiovascular surgery
clinic. The
cardiovascular surgery clinic did not plan any surgical operation for the
patient, and the patient whose medical treatment was organized was discharged 5
days later.

Conclusion: In regards to the
patients who apply to emergency services with complaints of abdominal pain,
numbness in extremities, acute abdomen or neurologic symptoms atypically seen
like loss of strength, we should also keep in mind aortic dissection and/or
iliac artery dissection among our preliminary diagnoses.

Keywords

Abdominal pain, numbness in extremities, iliac artery dissection

References

• 1. Lowry SF, Kraft RO. Isolated aneurysms of the iliac artery. Arch Surg 1978;113:1289-93.
• 2. Barker, SG, and KG.Burnand . Retrograde iliac artery dissection in Marfan’s syndrome. A case report. J Cardiovasc Surg (Torino) 1989;30: 953-4,.
• 3. Cattan S, Marriette X and Labrousse F et al. Iliac artery dissection in alpha 1-antitrypsin deficiency. Lancet 1994;343: 1371-2.
• 4. Fernandez AL and Herreros JM. Spontaneous and isolated dissection of the common iliac artery. J Cardiovasc Surg (Torino) 1997;38: 377-9,.
• 5. Nachbur BH, Inderbitzi RG, Bär W. Isolated iliac aneurysms. Eur J Vasc Surg 1991;5:375-81.
• 6. Kalko Y, Basaran M, Aydin U, Kafa U, Basaranoglu G, Yasar T. The surgical treatment of arterial aneurysms in Behçet disease: a report of 16 patients. J Vasc Surg 2005;42:673-7.
• 7. Atsuta Y, Inaba M, Goh K, Azuma N, Akasaka N, Asada H, et al. Isolated iliac artery aneurysm caused by fibromuscular dysplasia: report of a case. Surg Today 2003;33:639-41.
• 8. Özbudak E, Kanko M, Yavuz Ş, Gümüştaş S, Arıkan A.A, Çiftçi E, Berki T. İzole iliyak arter anevrizmaları: Cerrahi yöntem ile endovasküler girişimlerin karşılaştırılması. Türk Göğüs Kalp Damar Cerrahisi Dergisi 2013;21(2:317-324).
• 9. Lyden SP, Srivastava SD and Waldman DL et al. Common iliac artery dissection after blunt trauma:case report of endovascular repair and literature review. J Trauma 2001;50: 339-42.