title: Common iliac aneurysm rupture after previous aortic aneurysm resection.
abstract: BACKGROUND
  Ruptured common iliac aneurysms present with diagnostic and therapeutic challenges. This case describes the successful outcome in a patient with complex vascular surgical history.
  
  
  METHODS
  An elderly patient presented with abdominal pain confirmed by CT as leaking iliac aneurysm. He had previously undergone an aorto-bifemoral bypass graft for ruptured abdominal aortic aneurysm. The iliac aneurysm was treated by simple ligation of the external iliac artery.
  
  
  CONCLUSIONS
  Aorto-bifemoral bypass graft may be required for aortic aneurysm repair in severe iliac calicification. Iliac artery fed by retrograde blood flow from the aorto-bifemoral bypass graft contributed to aneurysm development here.
authors.affiliation: Hull Royal Infirmary, Hull, United Kingdom.
authors.forename: K J
authors.initials: KJ
authors.lastname: Mylankal
authors.forename: Z
authors.initials: Z
authors.lastname: Baxter
authors.forename: E P
authors.initials: EP
authors.lastname: Perry
keywords: aorto-bifemoral bypass graft; common iliac aneurysm; rupture
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