2023 Volume 32 Issue 4 Pages 281-284
The patient was a 79-year-old man transported to our critical care center with a complaint of sudden severe pain in the lower right abdomen. At admission, he was in shock with a systolic blood pressure 70 mmHg. Contrast-enhanced computed tomography revealed a right external iliac aneurysm with maximum minor diameter of 57 mm and a hematoma surrounding the aneurysm, and the patient was diagnosed as having a ruptured right external iliac aneurysm. Emergency graft replacement was performed on the same day. The patient’s postoperative course was generally good, and he was discharged on postoperative day 30. We report a rare case of rupture of an isolated external iliac aneurysm with review of the literature.