Gomez Deshan Mario, Edirisuriya Lumini, Athukorale Praneeth, Gooneratne Thushan
University Vascular Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri Lanka.
Department of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Vasc Specialist Int. 2024 Dec 2;40:38. doi: 10.5758/vsi.240064.
Isolated iliac artery pseudoaneurysms are extremely rare and typically asymptomatic. However, symptoms may arise from rupture or compression of adjacent structures, such as the ureter, bowel or deep veins. A 46-year-old male presented with right lower limb swelling and preceding lower abdominal pain of 6 months. Duplex imaging showed iliofemoral deep vein thrombosis. Blood tests showed neutrophil leukocytosis and elevated inflammatory markers. Contrast-enhanced computed tomography demonstrated a large eccentric, irregular right common iliac artery pseudoaneurysm with hydronephrosis, hydroureter, and inferior vena cava compression. Based on the radiological and biochemical investigations, a tentative diagnosis of infected iliac artery pseudoaneurysm was made. The patient was successfully managed with endovascular stent grafting. Deep vein thrombosis is a rare presentation of a infected iliac artery pseudoaneurysm. Early referral and timely intervention are crucial for achieving optimal outcomes.
孤立性髂动脉假性动脉瘤极为罕见，通常无症状。然而，症状可能源于相邻结构（如输尿管、肠道或深静脉）的破裂或受压。一名46岁男性出现右下肢肿胀及6个月前的下腹部疼痛。双功超声成像显示髂股深静脉血栓形成。血液检查显示中性粒细胞增多及炎症标志物升高。增强计算机断层扫描显示一个大的偏心、不规则的右髂总动脉假性动脉瘤，伴有肾积水、输尿管积水及下腔静脉受压。基于影像学和生化检查，初步诊断为感染性髂动脉假性动脉瘤。该患者通过血管内支架植入术成功治疗。深静脉血栓形成是感染性髂动脉假性动脉瘤的一种罕见表现。早期转诊和及时干预对于取得最佳治疗效果至关重要。
