Abstract
Institutional review board approval was not required for this report. A 73-year–old man with mixed connective tissue disease presented emergently with acute left lower extremity (LLE) swelling associated with bluish skin discoloration. Physical examination revealed 2+ LLE edema and Doppler distal arterial signals without evidence of phlegmasia or heart failure. Computed tomography demonstrated an enhancing saccular left common iliac artery (CIA) aneurysm treated 7 years previously with tandem endografts in the CIA and external iliac artery with coil embolization of the left internal iliac artery (IIA) (1).
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