A Case of a Ruptured Internal Iliac Artery Aneurysm Following Abdominal Aortic Repair

Abstract

An 86-year-old man was referred to our hospital because of sudden left lower abdominal pain. He had undergone infrarenal abdominal aortic aneurysm (AAA) repair at the age of 80. Computed tomography revealed a ruptured large left internal iliac artery aneurysm and the intact site of the previous repair. An emergency operation was performed and he was discharged on the 32nd postoperative day on foot. Ruptured internal iliac artery aneurysms following AAA repair are rare. We recommend a retroperitoneal approach and endoaneurysmorraphy as surgical treatment for this challenging condition.