Verta M J, Janevicius R V
J Cardiovasc Surg (Torino). 1982 Sep-Oct;23(5):432-4.
Although isolated hypogastric artery aneurysms are among the rarest of all aortoiliac aneurysms, they are among the most devastating. Two cases, one with rupture directly into the urinary bladder, are presented and the typical clinical triad of compressive symptoms, pelvic mass, and previous aneurysm is described. Intraoperative management is predicated upon sac obliteration with minimal tissue dissection. An aggressive approach to asymptomatic or minimally symptomatic aneurysms is urged due to the very high mortality following rupture.
尽管孤立性髂内动脉瘤是所有主髂动脉瘤中最罕见的，但却是最具破坏性的。本文报告了两例病例，其中一例直接破裂入膀胱，并描述了压迫症状、盆腔肿块和既往动脉瘤这一典型临床三联征。术中处理基于以最少的组织分离来闭塞瘤囊。鉴于破裂后死亡率极高，对于无症状或症状轻微的动脉瘤，强烈建议采取积极的治疗方法。
