Spontaneous dissection of the iliac artery in a patient with fibromuscular dysplasia.
A 49-year-old man was referred to our hospital at 10 days after the onset of sudden intermittent claudication of the right lower limb and with right lower abdominal pain. Diagnosis by computed tomography scan and pelvic angiography was dissection from the common iliac artery to peripheral external iliac artery with thrombosed false lumen. Replacement of the common and external iliac artery was performed using a 10-mm Dacron prosthesis. A pathological examination of the right common iliac artery revealed an arterial disorder caused by fibromuscular dysplasia.
Akashi
Hidetoshi
H
Department of Surgery, Kurume University School of Medicine, Kurume, Japan. akashi@med.kurume-u.ac.jp
Nata
Shinichi
S
Kanaya
Kurando
K
Shintani
Yusuke
Y
Onitsuka
Seiji
S
Aoyagi
Shigeaki
S
D015746:Abdominal Pain / Q000209:etiology; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D005352:Fibromuscular Dysplasia / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007383:Intermittent Claudication / Q000209:etiology; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome