Hypogastric artery aneurysm – a case report

Česká verze

Authors: J. Zeithaml ¹; V. Třeška ¹; J. Moláček ¹; V. Havel ²
Authors place of work: Chirurgická klinika, Univerzita Karlova, Lékařská fakulta v Plzni, Fakultní nemocnice Plzeň ¹; Klinika zobrazovacích metod, Univerzita Karlova, Lékařská fakulta v Plzni, Fakultní nemocnice Plzeň ²
Published in the journal: Rozhl. Chir., 2018, roč. 97, č. 11, s. 518-521.
Category: Kazuistika

Summary

Isolated hypogastric artery aneurysm (internal iliac artery aneurysm) is a rare disease, more often associated with the occurrence of aneurysms in other localities. It typically occurs in older men. Rupture as the most serious complication is associated with high mortality, which is many times higher than the mortality in case of elective repair. Nearly half of the patients are asymptomatic and eventual symptoms tend to be very diverse. Therefore, in the diagnostic process, it is necessary to consider this disease even in case of symptoms apparently unrelated to the arterial system. Treatment is surgical or endovascular. The report presents the case of a female patient with an isolated aneurysm of the hypogastric artery treated endovascularly.

Key words:

aneurysm − hypogastric artery – stentgraft − diagnosis

Zdroje

Opatrný V, Třeška V, Moláček J, et al. Giant aneurysm of the abdominal aorta and iliac arteries. Rozhl Chir 2016 95:123−5.
Venturini L, Grande R, Sapienza P. A rare presentation of an isolated internal iliac artery aneurysm: Report of a case and literature review. Vasc Endovascular Surg 2017;51:320−3.
Wilhelm BJ, Sakharpe A, Ibrahim G, et al. The 100-year evolution of the isolated internal iliac artery aneurysm Ann VascSurg 2014;28:1070−7.
Laine MT, Björck M, Beiles CB, et al. Few internal iliac artery aneurysms rupture under 4 cm. J Vasc Surg 2017;65:76−81.
Katsargyris A, Oikonomou K, Klonaris C, et al. Common iliac and hypogastric aneurysms: open and endovascular repair. J Cardiovasc Surg (Torino) 2015;56:249−55.
JW Richardson, LJ Greenfield. Natural history and management of iliac aneurysms. J VascSurg 1988;8:165−71.
BH Nachbur, RG Inderbitzi, W Bar. Isolated iliac aneurysms. Eur J VascSurg 1991;5:375−81.
Sandhu RS, Pipinos II. Isolated iliac artery aneurysms. VascSurg 2005;18:209−15.
Geisbüsch P, Attigah N, Hyhlik-Dürr A, et al. Decision-making and techniques in hypogastric artery revascularization. J Cardiovasc Surg (Torino) 2013;54 (1 Suppl 1):71−9.
Johnston KW, Rutherford RB, Tilson MD, et al. Suggested standards for reporting on arterial aneurysms. J VascSurg 1991;13:452–8.
Kucharský J, Kysela P. Ruptura izolovaného aneurysmatu pravé společné ilické tepny. Ces Radiol 2017;71:70−3.
Pirvu A, Gallet N, Perou S, et al. Midterm results of internal iliac artery aneurysm embolization. J Med Vasc 2017;42:157−61.
Rana MA, Kalra M, Oderich GS, et al. Outcomes of open and endovascular repair for ruptured and nonruptured internal iliac artery aneurysms. J Vasc Surg 2014;59:634−44.