An Uncommon Presentation of a Ruptured Right Common Iliac Artery Infected Pseudoaneurysm as Deep Vein Thrombosis: A Case Report and Literature Review
Isolated iliac artery pseudoaneurysms are extremely rare and typically asymptomatic. However, symptoms may arise from rupture or compression of adjacent structures, such as the ureter, bowel or deep veins. A 46-year-old male presented with right lower limb swelling and preceding lower abdominal pain...
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| Format: | Article |
| Language: | English |
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Medrang
2024-12-01
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| Series: | Vascular Specialist International |
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| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.240064 |
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| author | Deshan Mario Gomez Lumini Edirisuriya Praneeth Athukorale Thushan Gooneratne |
| author_facet | Deshan Mario Gomez Lumini Edirisuriya Praneeth Athukorale Thushan Gooneratne |
| author_sort | Deshan Mario Gomez |
| collection | DOAJ |
| description | Isolated iliac artery pseudoaneurysms are extremely rare and typically asymptomatic. However, symptoms may arise from rupture or compression of adjacent structures, such as the ureter, bowel or deep veins. A 46-year-old male presented with right lower limb swelling and preceding lower abdominal pain of 6 months. Duplex imaging showed iliofemoral deep vein thrombosis. Blood tests showed neutrophil leukocytosis and elevated inflammatory markers. Contrast-enhanced computed tomography demonstrated a large eccentric, irregular right common iliac artery pseudoaneurysm with hydronephrosis, hydroureter, and inferior vena cava compression. Based on the radiological and biochemical investigations, a tentative diagnosis of infected iliac artery pseudoaneurysm was made. The patient was successfully managed with endovascular stent grafting. Deep vein thrombosis is a rare presentation of a infected iliac artery pseudoaneurysm. Early referral and timely intervention are crucial for achieving optimal outcomes. |
| format | Article |
| id | doaj-art-99cb76f1d0f0440d920574071cdc0ccc |
| institution | Kabale University |
| issn | 2288-7970 2288-7989 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj-art-99cb76f1d0f0440d920574071cdc0ccc2024-12-02T06:31:49ZengMedrangVascular Specialist International2288-79702288-79892024-12-014010.5758/vsi.240064vsi.240064An Uncommon Presentation of a Ruptured Right Common Iliac Artery Infected Pseudoaneurysm as Deep Vein Thrombosis: A Case Report and Literature ReviewDeshan Mario Gomez0Lumini Edirisuriya1Praneeth Athukorale2Thushan Gooneratne3University Vascular Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri LankaDepartment of Interventional Radiology, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri LankaIsolated iliac artery pseudoaneurysms are extremely rare and typically asymptomatic. However, symptoms may arise from rupture or compression of adjacent structures, such as the ureter, bowel or deep veins. A 46-year-old male presented with right lower limb swelling and preceding lower abdominal pain of 6 months. Duplex imaging showed iliofemoral deep vein thrombosis. Blood tests showed neutrophil leukocytosis and elevated inflammatory markers. Contrast-enhanced computed tomography demonstrated a large eccentric, irregular right common iliac artery pseudoaneurysm with hydronephrosis, hydroureter, and inferior vena cava compression. Based on the radiological and biochemical investigations, a tentative diagnosis of infected iliac artery pseudoaneurysm was made. The patient was successfully managed with endovascular stent grafting. Deep vein thrombosis is a rare presentation of a infected iliac artery pseudoaneurysm. Early referral and timely intervention are crucial for achieving optimal outcomes.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.240064common iliac arterypseudoaneurysminfected aneurysmrupturedeep vein thrombosis |
| spellingShingle | Deshan Mario Gomez Lumini Edirisuriya Praneeth Athukorale Thushan Gooneratne An Uncommon Presentation of a Ruptured Right Common Iliac Artery Infected Pseudoaneurysm as Deep Vein Thrombosis: A Case Report and Literature Review Vascular Specialist International common iliac artery pseudoaneurysm infected aneurysm rupture deep vein thrombosis |
| title | An Uncommon Presentation of a Ruptured Right Common Iliac Artery Infected Pseudoaneurysm as Deep Vein Thrombosis: A Case Report and Literature Review |
| title_full | An Uncommon Presentation of a Ruptured Right Common Iliac Artery Infected Pseudoaneurysm as Deep Vein Thrombosis: A Case Report and Literature Review |
| title_fullStr | An Uncommon Presentation of a Ruptured Right Common Iliac Artery Infected Pseudoaneurysm as Deep Vein Thrombosis: A Case Report and Literature Review |
| title_full_unstemmed | An Uncommon Presentation of a Ruptured Right Common Iliac Artery Infected Pseudoaneurysm as Deep Vein Thrombosis: A Case Report and Literature Review |
| title_short | An Uncommon Presentation of a Ruptured Right Common Iliac Artery Infected Pseudoaneurysm as Deep Vein Thrombosis: A Case Report and Literature Review |
| title_sort | uncommon presentation of a ruptured right common iliac artery infected pseudoaneurysm as deep vein thrombosis a case report and literature review |
| topic | common iliac artery pseudoaneurysm infected aneurysm rupture deep vein thrombosis |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.240064 |
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