Solitary common iliac artery inflammatory aneurysm in a healthy woman: case report and review of the literature.
Inflammatory aneurysms represent only 3-10% of all aortoiliac aneurysms and tend to be more common in men. We report a case of a solitary inflammatory aneurysm of the right common iliac artery in a healthy young woman. The patient presented with persistent abdominal and right flank pain. She had no risk factors for vascular disease, except mild hypertension and a strong family history of aneurysm disease. Her work-up demonstrated a 3.0 cm right common iliac artery aneurysm with intramural thrombus, focal calcification, and perianeurysmal inflammation without evidence of systemic atherosclerosis. There was right hydroureteronephrosis secondary to ureteral compression by the inflammatory aneurysm. She underwent open right common iliac artery aneurysmorraphy with polytetrafluoroethylene interposition graft and concomitant ureterolysis without complication. She remains asymptomatic more than 1 year postoperatively with no evidence of additional aneurysm disease, resolution of her hydroureteronephrosis, and normal kidney function. We report a rare case of a solitary inflammatory aneurysm of the right common iliac artery in a healthy young woman, with a review of the current literature on inflammatory aneurysms.
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Related Subject Headings
- Tomography, X-Ray Computed
- Risk Factors
- Polytetrafluoroethylene
- Middle Aged
- Iliac Aneurysm
- Hypertension
- Humans
- Female
- Cardiovascular System & Hematology
- Blood Vessel Prosthesis Implantation
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Tomography, X-Ray Computed
- Risk Factors
- Polytetrafluoroethylene
- Middle Aged
- Iliac Aneurysm
- Hypertension
- Humans
- Female
- Cardiovascular System & Hematology
- Blood Vessel Prosthesis Implantation