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Isolated Atherosclerotic Aneurysms of the Internal Iliac ArteriesReport of Two Cases and Review of the Literature
Robert J. Kasulke, MD;
Angela Clifford, MD;
W. Kirt Nichols, MD;
Donald Silver, MD
Arch Surg. 1982;117(1):73-77.
Abstract
Isolated arteriosclerotic aneurysms of the internal iliac artery are uncommon, with an incidence approaching 0.4%. Although the symptoms invariably involve the genitourinary or gastrointestinal systems, the aneurysms may be found during abdominal, rectal, or vaginal examinations. The 75% mortality associated with the rupture of an internal iliac aneurysm mandates for early surgery for these aneurysms. Operation may consist of ligation of the internal iliac artery, excision of the aneurysm, or an obliterative endoaneurysmorrhaphy. While the operative mortality has averaged 33.3%, there were no operative deaths in this series.
(Arch Surg 1982;117:73-77)
Author Affiliations
From the Department of Surgery, University of Missouri Medical Center, and Harry S Truman Memorial Veterans Administration Hospital, Columbia, Mo.
Footnotes
Accepted for publication Feb 23, 1981.
Reprint requests to Department of Surgery, University of Missouri Medical Center, Columbia, MO 65212 (Dr Silver).
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