Fraser W, Knott A, Pathak S
Yeovil District Hospital, Yeovil, UK.
J Surg Case Rep. 2012 Aug 1;2012(8):18. doi: 10.1093/jscr/2012.8.18.
Internal iliac artery aneurysms are rare, but with a mortality approaching 50% in those that rupture, prompt diagnosis is essential. Often presentation is nonspecific; a wide variety of symptoms and signs have been encountered, illustrating a challenge in identification. We report a case of ruptured internal iliac artery aneurysm presenting as urinary retention. The importance of maintaining a broad differential in cases of urinary retention is clearly highlighted.