Successful emergency stenting of acute ruptured false iliac aneurysm.
A 75-year-old man complaining of acute abdominal pain, 1 month after elective surgical repair of an abdominal aortic aneurysm by an aortabi-iliac bypass graft, was referred and admitted to the emergency room. Imaging by sonography and computed tomography scan revealed a ruptured iliac pseudoaneurysm at the right iliac anastomotic site with associated large retroperitoneal hematoma. We inserted a self-expanding covered Z-stent graft by a transfemoral approach and the iliac anastomotic pseudoaneurysm was successfully excluded. Our case demonstrates the possibilities of an endovascular approach for providing a fast, efficient and less aggravating procedure in order to treat these life-threatening conditions.
Bierdrager
Edwin
E
Department of Radiology, St. Elisabeth Hospital, Hilvarenbeekse weg 60, 5022 GC, Tilburg, The Netherlands. ebierd@elisabeth.nl
Lohle
Paul N M
PN
Schoemaker
Cees M
CM
Lampmann
Leo E H
LE
van Berge Henegouwen
Dennis P
DP
Hamming
Jaap F
JF
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D004638:Emergency Treatment; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D011859:Radiography; D015607:Stents