[Right iliac artery aneurism revealed by a left leg ulcer].

OBJECTIVE

The aim of this study is to expose a secondary cause of venous insufficiency which surgical treatment.

OBSERVATION

A 73 old man with a huge aneurism of the right common iliac artery which compressed the left common iliac vein was described. The patient had a unilateral left leg oedema and stasing ulcer. Examinations revealed an abdominal pulsate mass. Echography and T scan showed a right common iliac artery aneurysm and compression of the left iliac vein. Surgery was resected aneurism and replaced vascular prosthesis. After surgery, the unilateral left leg oedema was rapidly regressed and complete stasing ulcer healing.

CONCLUSION

This case report showed difficult diagnosis and treatment of vascular disease in under development countries.