Open Surgery for Giant Bilateral Internal Iliac Artery Aneurysms with Compression of Neighboring Abdominal Structures: A Case Report

Atsushi Morishita; Hideyuki Tomioka; Seiichiro Katahira; Takeshi Hoshino; Kazuhiko Hanzawa

doi:10.3400/avd.cr.15-00065

Case Reports

Open Surgery for Giant Bilateral Internal Iliac Artery Aneurysms with Compression of Neighboring Abdominal Structures: A Case Report

Atsushi Morishita, Hideyuki Tomioka, Seiichiro Katahira, Takeshi Hoshino, Kazuhiko Hanzawa

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Keywords: open surgery, abdominal structure compression, giant bilateral internal iliac artery aneurysm

JOURNAL FREE ACCESS

2015 Volume 8 Issue 3 Pages 265-267

DOI https://doi.org/10.3400/avd.cr.15-00065

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Abstract

We describe a patient with successfully treated giant bilateral internal iliac artery aneurysms that were associated with acute renal failure secondary to bilateral hydronephrosis, lumbosacral plexopathy, and ileus. After hemodialysis for 1 month, the patient underwent graft replacement of the abdominal aorta and iliac arteries, including complete obliteration of the internal iliac artery branches, reconstruction of the inferior mesenteric artery, and ureterolysis. Weaning from hemodialysis was achieved and postoperative renal function improved. Although the patient had serious preoperative co-morbidities, emergency traditional open surgery should be the gold standard for securely releasing compression of the neighboring organs instead of endovascular treatment.

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