1. DR KIRAN DAVE
VASCULAR AND ENDO VASCULAR SPECIALIST
AHMEDABAD

2. ILIAC ANEURYSM
 65 YEAR OLD MALE PATIENT
 HYPERTENSIVE
 ABDOMINAL PAIN SINCE 2 DAYS
 USG – RETROPEROTONEAL HAEMATOMA

3. CT ABDOMEN
 RUPTURED RT ILIAC ANEURYSM
 LARGE 15X 12 CM HAEMATOMA
 ECTATIC LT ILAC ARTERIES

4. TREATMENT
 EMERGENCY LAPAROTOMY
 LIGATION OF COMMON ILIAC ORIGIN AND
COMMON FEMORAL VESSELS
 AORTOBIFEMORAL GRAFT
 UNEVENTFULL POST OP RECOVERY
 COMING FOR REGULAR FOLLOW UP

5. AFTER THREE YEARS
 PRESENTED WITH SIMILAR COMPLAIN OF
ABDOMINAL PAIN
 EXAMINATION REVEALED PULSATILE MASS IN
RIF
 DOPPLER CONFIRMED LARGE ANEURYSM
WITH ARTERIAL FLOW

6. CT ANGIO
 FILLING OF LARGE ANEURYSM IN RIF
 GRAFT FLOW NORMAL
 RETROGRADE FILLING FROM COLLATERAL
VESSELS OF EIA

7. TREATMENT
 COIL EMBOLISATION WAS PLANNED
 US GUIDED PUNCTURE OF CFA ABOVE THE
DISTAL ANASTOMOSIS

17. DISCUSS
 LIGATION OF INTERNAL ILIAC WAS NOT DONE
 SIZE OF COILS
 OTHER MATERIAL - GLUE

18. THANK YOU
FOOTBALL LILLY – THIS BLOOMS IN 3 RD WEEK OF JULY