Parry D J, Kessel D, Scott D J
Department of Vascular Surgery, St James's University Hospital, Leeds, UK.
Ann R Coll Surg Engl. 2001 Sep;83(5):302-8.
Isolated aneurysms of the internal iliac (hypogastric) artery are a rare variant of aorto-iliac aneurysm disease, with an incidence at around 0.04% of all aorto-iliac aneurysms. Because of their location deep within the pelvis, they may present late and are often large. The incidence of rupture is high and may be up to 38% at initial presentation; furthermore, this has been reported to carry a 58% mortality rate. As such the early and aggressive management of isolated internal iliac artery aneurysms (IIAAs) is mandatory to avoid the high morbidity and mortality associated with rupture. This article includes a literature review regarding IIAAs and outlines the current surgical and endovascular management options for this most rare and technically challenging of aneurysms.
髂内（腹下）动脉孤立性动脉瘤是主-髂动脉瘤疾病的一种罕见变异，在所有主-髂动脉瘤中发病率约为0.04%。由于其位于盆腔深部，可能出现较晚且通常体积较大。破裂发生率很高，初诊时可能高达38%；此外，据报道其死亡率为58%。因此，对于髂内动脉孤立性动脉瘤（IIAAs）必须进行早期积极治疗，以避免与破裂相关的高发病率和死亡率。本文包括关于IIAAs的文献综述，并概述了针对这种最罕见且技术上具有挑战性的动脉瘤的当前手术和血管内治疗选择。
