부산대학교 도서관

External iliac arterial aneurysm is an extremely rare condition; only a few cases have been reported worldwide. A 58-year-old man was admitted for vital shock. He had poliomyelitis and paralysis in the right leg and previously underwent arteriovenous fistula procedure during childhood for the treatment of leg length discrepancy caused by poliomyelitis. He also underwent ligation of the right superficial femoral artery 13 years ago, as treatment for the right leg ulcer. We performed emergent surgery. First, embolized the right external iliac artery using vascular plug. And then, ligated right common femoral artery and bypass from left common femoral artery to right deep femoral artery using ePTFE graft. Although this is a rare case, several studies have reported the association between poliomyelitis and arterial aneurysms. Here, we report a case of ruptured external iliac arterial aneurysm in a patient with poliomyelitis who had arteriovenous fistula procedure during childhood.