Shah Sahaj S, Pillai Gayatri S, Major Matthew, Salzler Gregory G, Ryer Evan J, Elmore James R, Irvan Jeremy L
Geisinger Commonwealth School of Medicine, Scranton, PA.
Department of Endovascular and Vascular Surgery, Geisinger Medical Center, Danville, PA.
J Vasc Surg Cases Innov Tech. 2023 May 24;9(3):101229. doi: 10.1016/j.jvscit.2023.101229. eCollection 2023 Sep.
We present the case of an 87-year-old man with a ruptured right internal iliac artery aneurysm with hemoperitoneum. The right internal iliac artery aneurysm appeared to fill from the retrograde profunda femoris artery in the setting of a previously repaired abdominal aortic aneurysm with aorta-bi-iliac bypass with ligation of the bilateral internal iliac arteries. Abdominal computed tomography revealed an aneurysm of the right internal iliac artery measuring 8.9 cm, with filling through the collateral vessels. Open repair was performed, leading to complete exclusion of the aneurysm with no perioperative complications.
我们报告一例87岁男性患者，其右侧髂内动脉动脉瘤破裂并伴有腹腔积血。该右侧髂内动脉动脉瘤似乎是在先前已修复的腹主动脉瘤并进行主动脉-双髂动脉搭桥术且结扎双侧髂内动脉的情况下，由逆行的股深动脉供血。腹部计算机断层扫描显示右侧髂内动脉有一个8.9厘米的动脉瘤，通过侧支血管供血。进行了开放修复手术，成功完全排除了动脉瘤，且无围手术期并发症。
