title: Spontaneous rupture of common iliac artery associated with fibromuscular dysplasia presenting with colic pain suggestive of ureteral stone.
abstract: We report a case of spontaneous rupture of the common iliac artery associated with fibromuscular dysplasia (FMD). A 21-year-old previously healthy male presented with acute onset of colic pain, suspected to be caused by a ureteral stone. Abdominal computed tomography and angiography revealed a retroperitoneal hematoma caused by rupture of the common iliac artery. In spite of an emergency operation initiated quickly, the patient died. A pathological examination demonstrated FMD of the common iliac artery. Although very rare, it is important to bear in mind that the possibility of retroperitoneal hemorrhage exists in patient with sudden lumbago.
authors.affiliation: Department of Urology, Hyogo Prefectural Nishinomiya Hospital.
authors.forename: Iwao
authors.initials: I
authors.lastname: Yoshioka
authors.forename: Naoko
authors.initials: N
authors.lastname: Arichi
authors.forename: Shigeki
authors.initials: S
authors.lastname: Tokugawa
authors.forename: Hidefumi
authors.initials: H
authors.lastname: Kishikawa
authors.forename: Kenji
authors.initials: K
authors.lastname: Nishimura
authors.forename: Yasuji
authors.initials: Y
authors.lastname: Ichikawa
mesh_terms: D000328:Adult; D003085:Colic / Q000209:etiology*; D004630:Emergencies; D017809:Fatal Outcome; D005352:Fibromuscular Dysplasia / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D008297:Male; D016491:Peripheral Vascular Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D012187:Retroperitoneal Space; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D014514:Ureteral Calculi