title: A Rare Presentation of an Isolated Internal Iliac Artery Aneurysm: Report of a Case and Literature Review.
abstract: Isolated internal iliac artery aneurysms (IIIAAs) are extremely rare. We present the case of a 75-year-old white Caucasian male patient admitted for right lower limb deep venous thrombosis and low-risk pulmonary embolism due to the compression of the external iliac vein from an IIIAA. A review of the literature was also performed to identify the epidemiologic, clinical characteristics and diagnostic and operative strategies of this disease. At present, a recommendation for the best operative strategy in the presence of an IIIAA is difficult. Our analysis demonstrated controversial results, but we are confident to recommend the endovascular treatment in an elective setting.
authors.affiliation: 1 Department of Surgery, "Pietro Valdoni," "Sapienza" University of Rome, Rome, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Venturini
authors.affiliation: 1 Department of Surgery, "Pietro Valdoni," "Sapienza" University of Rome, Rome, Italy.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Grande
authors.affiliation: 1 Department of Surgery, "Pietro Valdoni," "Sapienza" University of Rome, Rome, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Sapienza
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D010690:Phlebography / Q000379:methods; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy
chemical_list: D000925:Anticoagulants
keywords: endovascular aneurysm repair; iliofemoral vein thrombosis; isolated internal iliac aneurysm; silent pulmonary embolism