Iliac Artery Dissection: A Case Report

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.