Ruptured Isolated Internal Iliac Artery Aneurysm Presenting with Haematuria: A Case Report

Abstract

Internal iliac aneurysms are rare and their presentation with haematuria is even rarer. This report describes a patient with a ruptured internal iliac artery (IIA) aneurysm who presented with mild right iliac fossa pain and haematuria. A computed tomography scan demonstrated a right internal iliac artery aneurysm that had ruptured into the bladder. The patient was immediately taken to theatre for IIA ligation and bladder repair. This uncommon presentation of a ruptured internal iliac artery aneurysm should be kept in mind when investigating older patients with haematuria.