Successful Surgical Repair for Ruptured Giant Solitary Right Common Iliac Aneurysm Coexisting Hydronephrosis

Abstract

Solitary Iliac Aneurysms (SIAs) are rare and difficult to find because of the asymptomatic natural history. Therefore, they have a significant risk of rupture with high mortality and morbidity. We report a case of successful surgical repair for ruptured SIA coexisting hydronephrosis. A 78-year-old male was addressed in a state of shock to our hospital for lower abdominal pain. CT scan demonstrated right giant SIA rupture into peritoneal cavity complicated by hydronephrosis. Emergent surgery was done by laparotomy in which Y-graft replacement was performed remaining the ureter untouched. Postoperative course was uneventful and hydronephrosis disappeared 6 months after the surgery.