부산대학교 도서관

Ruptured external iliac artery aneurysm is very rare and hardly reported. We experienced the case of this disease for whom the operation due to save his life was performed. A 53-year-old man was carried to our hospital by an ambulance because of severe pain and numbness from left inguinal to femoral region. The rupture of left external iliac artery aneurysm 70 mm in diameter was detected on CT and so emergent aneurysmectomy and graft replacement was performed. The patient needed time for recovery of bowel movements and diet was started nine days after the operation. But the subsequent operation progress was favorable and he was discharged 16 days after the operation. The loss of the elastic fibers was accepted by Elastica-Masson’s stain in the histopathological views. We diagnosed that the cause of this disease is arteriosclelosis judging from family history, clinical examination findings, physical views and histopathological views. Emergent thrombectomy was performed for acute graft occlusion two years after the operation. The graft was patent and stenoses of both anastomotic sites were not detected on CT angiography three years after the operation.