This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal

Stephen F. Lowry, MD; Richard O. Kraft, MD

Arch Surg. 1978;113(11):1289-1293.

Abstract
• Clinical and diagnostic material were gathered from eight cases of iliac aneurysms encountered over a ten-year period. From the literature, descriptions of 36 lesions were also reviewed to identify their outcome when treated conservatively. Six of the eight aneurysms treated as expected resulted in eventual rupture.

Although 48% of all patients (those in the present series and those reported in the literature) had symptoms before rupture, the symptoms of intact iliac aneurysms often mimicked urological or neurological diseases. In contrast to persons with abdominal aortic aneurysms, only 36% of all patients had a palpable abdominal or rectal mass before rupture. In 65% of all cases, noninvasive roentgenography failed to show the lesions. An aneurysmal lesion was often (23%) present in the opposite iliac system as well. Ninety-three percent of all patients survived after an elective operation, but only 48% survived after an emergency iliac aneurysmectomy after rupture occurred.

(Arch Surg 113:1289-1293, 1978)

Author Affiliations
From the Department of Surgery, St Joseph Mercy Hospital, and the University of Michigan Medical School, Ann Arbor. Dr Lowry is now with the Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, Md.

Footnotes
Accepted for publication July 24, 1978.

Read before the 26th scientific meeting of the International Cardiovascular Society, Los Angeles, June 23, 1978.

Reprint requests to Department of Surgery, St Joseph Mercy Hospital, PO Box 995, Ann Arbor, MI 48106 (Dr Kraft).

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Strategy for Isolated Iliac Artery Aneurysms
Hiromatsu et al.
Asian Cardiovasc. Thorac. Ann. 2007;15:280-284.
ABSTRACT | FULL TEXT  

Repair of Bilateral Iliac Artery Aneurysms Associated with a Congenital Pelvic Kidney
Rehrig et al.
VASC ENDOVASCULAR SURG 2001;35:463-467.
ABSTRACT  

Ruptured Solitary Iliac Artery Aneurysm Presenting as a Seizure Disorder
Borghaei and Rolston
Arch Intern Med 2000;160:872-872.
FULL TEXT  

A Giant Isolated External Iliac Artery Aneurysm Causing Hydronephrosis and Lower Extremity Weakness: A Case Report
Wong et al.
VASC ENDOVASCULAR SURG 1999;33:435-438.
ABSTRACT  

Bilateral Metachronous Rupture of Isolated Iliac Artery Aneurysms: A Case Report
Dosluoglu and Harris
VASC ENDOVASCULAR SURG 1999;33:307-311.
ABSTRACT  

Internal Iliac Artery Aneurysm Presenting as Severe Constipation: A Case Report
Mencia and Hines
VASC ENDOVASCULAR SURG 1999;33:313-316.
ABSTRACT  

Ruptured Solitary Iliac Artery Aneurysms: A "Silent" Killer?: Report of Four Cases and Review of the Literature
Levy et al.
VASC ENDOVASCULAR SURG 1993;27:611-620.
ABSTRACT  

Rupture of an Aneurysm of the Internal Iliac Artery into the Rectum. Report on a Case with Favorable Outcome
Del Gaudio et al.
VASC ENDOVASCULAR SURG 1993;27:384-389.
ABSTRACT  

Nonprosthetic Reconstruction of Isolated Iliac Artery Aneurysms--Case Reports
Lewis and Davies
VASC ENDOVASCULAR SURG 1992;26:231-234.
ABSTRACT  

Ruptured Iliac Artery Aneurysm Presenting as Acute Iliofemoral Venous Occlusion--A Case Report
Kupferschmid et al.
VASC ENDOVASCULAR SURG 1990;24:365-368.
 

Spontaneous Aneurysmal Enteric Fistulae Report of Two Chinese Patients Successfully Treated by Surgery
Siu and Wong
VASC ENDOVASCULAR SURG 1988;22:428-431.
ABSTRACT  

Recurrent Giant Hypogastric Artery Aneurysms A Case Report
Golden et al.
ANGIOLOGY 1988;39:620-624.
ABSTRACT  

Primary Arteriovenous Fistulas of the Abdomen: Their Occurrence Secondary to Aneurysmal Disease of the Aorta and Iliac Arteries
Duppler et al.
Arch Surg 1985;120:786-790.
ABSTRACT  

Posttraumatic Dissection of the Iliac and Femoral Arteries
deSantos et al.
VASC ENDOVASCULAR SURG 1984;18:165-169.
ABSTRACT