Abstract
A 17 year-old female presented with abdominal pain, due to contained rupture of a left common iliac artery aneurysm. This was accompanied by abdominal aortic and superior mesenteric artery aneurysms. Despite emergency vascular surgery, the patient died a week later. Post-mortem examination revealed intimomedial mucoid degeneration. This rare condition has been described predominantly in South African black patients especially females, and occurs at a younger age than degenerative aortic aneurysms.
Highlights
Despite a number of case reports and series, general scepticism persists regarding the acceptance of intimomedial mucoid degeneration (IMMD) as a distinct clinico-pathological entity
This report aims to increase the awareness of IMMD and revisit the distinctive clinical, radiological and pathological features peculiar to this condition
A 17-year-old black girl presented to a peripheral hospital with a oneweek history of severe abdominal pain, weight loss, swelling of her left leg, and weakness of both lower limbs, worse on the left
Summary
Multiple aneurysms due to intimomedial mucoid degeneration: a short presentation. Division of Diagnostic Radiology,Groote Schuur Hospital and University of Cape Town. Division of Anatomical Pathology,Groote Schuur Hospital and National Health Laboratory Service,Cape Town
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