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Vascular and Endovascular Surgery
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A Giant Isolated External Iliac Artery Aneurysm Causing Hydronephrosis and Lower Extremity Weakness

A Case Report

Simon K. H. Wong, FRCS (Ed)

W. S. Ho, FRCS (Ed)

Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong

William K. Loftus, FRACR

Department of Surgery and Diagnostic Radiology and Organ Imaging, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong

Walter W. K. King, MD, FRCS (Ed), FRCS(C), FACS, FCSHK

Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong

A 75-year-old man was admitted with left lower limb weakness with findings of left isolated external iliac artery aneurysm and left hydronephrosis. Doppler ultrasound and contrasted computed tomography scan demonstrated a large 18 cm iliac artery aneurysm. Endoaneurysmorrhaphy and iliofemoral bypass were performed. The patient was well and discharged 2 weeks after operation. The incidence, natural history, and management of isolated iliac artery aneurysms are discussed and the literature is reviewed.

Vascular and Endovascular Surgery, Vol. 33, No. 4, 435-438 (1999)
DOI: 10.1177/153857449903300423
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