Right iliac arterial aneurysm in a 4-year-old girl who does not have a right external iliac artery

• Published in: Annals of surgical treatment and research Vol. 91; no. 5; pp. 265 - 268
• Main Authors: Lee, Jeong-Hwan, Oh, Chaeyoun, Youn, Joong Kee, Han, Ji-Won, Kim, Hyun-Young, Jung, Sung-Eun
• Format: Journal Article
• Language: English
• Published: Korea (South) 대한외과학회 01.11.2016; The Korean Surgical Society
• Subjects: Case Report; 일반외과학; Vascular surgical procedure; Iliac aneurysm; Child; Aneurysm
• ISSN: 2288-6575; 2288-6796
• DOI: 10.4174/astr.2016.91.5.265

Pediatric arterial aneurysm is rare disease. Among them, idiopathic-congenital arterial aneurysm is extremely rare. This is a case report of right common iliac artery idiopathic aneurysm with absence of right external iliac artery. A 4-year-old girl who had been complaining of intermittent abdominal pain since 2 years prior presented with a right lower abdominal mass that had been palpable since 6 months prior. Abdominal CT revealed a 5.2 cm × 4.5 cm × 5.1 cm, right-sided, partially thrombosed, saccular, iliac artery aneurysm. She underwent to operation, aneurismal resection. A pathological examination confirmed that it was a true aneurysm, considering that all layers of the vascular wall were stretched with no deficit. The patient was discharged 3 days after the surgery without any complication. Five months passed since the surgery, and the patient is doing well without any abdominal or leg pain.