RUPTURED LEFT INTERNAL ILIAC ARTERY ANEURYSM SUCCESSFULLY TREATED WITH RUPTURED LEFT INTERNAL ILIAC ARTERY ANEURYSM SUCCESSFULLY TREATED WITH

Abstract

Isolated aneurysm of internal iliac artery is infrequent, but often leads to the rupture with a high rate compared to another peripheral aneurysms. We reported a case of ruptured aneurysm of internal iliac artery treated with ligation and embolization. A 84-year-old man complained of abdominal pain and lumbago, and was found to have a ruptured, isolated left iliac artery aneurysm by ultrasonography. Transcatheter embolization tried first was failed because of severe arteriosclerosis. Then we carried out laparotomy and ligated the proximal part of the left iliac artery. However, the pulsation of the aneurysm was still continued, which obliged us to occulude aneurysm with coils and Gelfoam, resulting in the disappearance of pulsation and successful embolization. This procedure recommended when the proximal ligation offers an unsatisfactory effect for the ruptured aneurysm of the internal iliac artery.