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Our case and others reported in the literature illustrate that isolated aneurysms of the internal iliac artery are uncommon lesions with a highly lethal potential. The classic signs of ruptured abdominal aneurysm--pain, palpable mass, and shock--are usually altered with rupture of these aneurysms because of their deep location in the pelvis. Rectal examination will aid diagnosis. Surgical management of IIA aneurysms 4 cm or larger is indicated at the time of diagnosis, since rupture is usually fatal.
Citation
A H Boyarsky, W P Burks, J T Davidson, J J Chandler. Ruptured aneurysm of the internal iliac artery. Southern medical journal. 1985 Nov;78(11):1356-7
Mesh Tags
PMID: 4071146
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