title: Spontaneous rupture of an isolated iliac artery dissection in a young man because of cystic medial degeneration Erdheim-Gsell.
abstract: BACKGROUND
  Rupture of isolated iliac artery dissections is a life-threatening event and has not been associated with cystic medial degeneration (CMD) Erdheim-Gsell.
  
  
  METHODS
  A young man presented to our emergency unit in a critical hemodynamic condition. Computed tomography scan feigned the rupture of an internal iliac artery.
  
  
  RESULTS
  Surprisingly, we found a ruptured dissection of the common iliac artery during open surgery. Reconstruction was done by Dacron graft interposition between common and internal iliac artery and external iliac artery implantation into the graft. Histology revealed CMD.
  
  
  CONCLUSIONS
  Spontaneous iliac artery dissection and rupture can be caused by CMD and requires immediate surgical intervention.
authors.affiliation: Department of Vascular and Endovascular Surgery, University Hospital of Duesseldorf, Duesseldorf, Germany. Electronic address: philip.dueppers@med.uni-duesseldorf.de.
authors.forename: Philip
authors.initials: P
authors.lastname: Dueppers
authors.affiliation: Department of Pathology, University Hospital of Duesseldorf, Duesseldorf, Germany.
authors.forename: Silvia
authors.initials: S
authors.lastname: Jankowiak
authors.affiliation: Department of Vascular and Endovascular Surgery, University Hospital of Duesseldorf, Duesseldorf, Germany.
authors.forename: Hubert
authors.initials: H
authors.lastname: Schelzig
authors.affiliation: Department of Vascular and Endovascular Surgery, University Hospital of Duesseldorf, Duesseldorf, Germany.
authors.forename: Markus U
authors.initials: MU
authors.lastname: Wagenhäuser
authors.affiliation: Department of Vascular and Endovascular Surgery, University Hospital of Duesseldorf, Duesseldorf, Germany.
authors.forename: Alexander
authors.initials: A
authors.lastname: Oberhuber
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D003560:Cysts / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006439:Hemodynamics; D006801:Humans; D017543:Iliac Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D008297:Male; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D017540:Tunica Media / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery