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  Vol. 117 No. 1, January 1982 TABLE OF CONTENTS
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Isolated Atherosclerotic Aneurysms of the Internal Iliac Arteries

Report 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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