Solitary common iliac artery inflammatory aneurysm in a healthy woman: case report and review of the literature.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Magliocca, JF; Faerber, GJ; Upchurch, GR

Published Date

  • November 2005

Published In

Volume / Issue

  • 19 / 6

Start / End Page

  • 890 - 895

PubMed ID

  • 16184440

Pubmed Central ID

  • 16184440

Electronic International Standard Serial Number (EISSN)

  • 1615-5947

International Standard Serial Number (ISSN)

  • 0890-5096

Digital Object Identifier (DOI)

  • 10.1007/s10016-005-7713-8

Language

  • eng