Difficulty Maintaining Pelvic Flow Internal iliac artery blood flow should be maintained if possible. In the Canadian Aneurysm Study, when internal iliac flow was maintained to one or both sides, the incidence of clinically apparent ischemic colitis was 0.3%, but when flow was interrupted bilaterally, ischemic colitis occurred in 2.6%. This observation and the current data from endovascular rep...

BACKGROUND Abdominal aortic mural thrombus is uncommon in the absence of aneurysm or atherosclerosis. CASE REPORT We report the case of a 46-year-old man who presented to our institution with perforated appendicitis for which he initially declined surgery. Four days after admission he ultimately consented to appendectomy and abdominal washout. Follow-up imaging to evaluate for intra-abdominal...

Arteriovenous fistula presents rarely with ascites. Diagnosis, with an elusive clinical presentation, is often incidental or delayed. A 35-year-old woman presented with ascites and cardiac decompensation. Contrast enhanced computed tomography revealed arteriovenous fistula between the left common iliac artery aneurysm and the left common iliac vein. The patient underwent endovascular treatment ...

BACKGROUND An important negative factor of EVAR is the radiation acquired during long-lasting procedures. The aim of the study was to document the radiation doses of EVAR and to discuss potential reasons for prolongation of radiological procedures. MATERIAL/METHODS Dose-area product (DAP) (Gy cm²) and air kerma (AK) (Gy) obtained during EVAR from 92 patients were analyzed retrospectively in r...

We report on a patient with spontaneous rupture of a nonaneurysmal left common iliac artery in whom hemorrhagic shock developed. A 64-year-old woman presented with hemodynamic collapse accompanied by sudden abdominal pain. She was transported to the emergency department. Angiography showed a penetrating atherosclerotic ulcer in the left common iliac artery. Emergency surgery was performed with ...

a 73-year-old woman who had undergone coronary artery bypass grafting for coronary artery stenosis six years ago, presented with right lower extremity claudication. angiography revealed right external artery stenosis. elective external iliac ptca was performed complicated with simultaneous external iliac artery and vein rupture that was an exceedingly rare event. retroperitoneal laparotomy with...

internal iliac artery (iia) shows frequent variations in its branching pattern. we saw variations in the branching pattern of right iia in a male cadaver. the iia divided into anterior and posterior divisions. the branches of the anterior division included umbilical artery, inferior vesical artery, obturator artery. the other branches arose from posterior trunk such as iliolumbar, lateral sacra...

Reprint requests to: Dr. Tzu-Lung Ho Department of Radiology, Kuang Tien General Hospital. No.117, Shatian Road, Shalu, Taichung 433, Taiwan, R.O.C. Infected aneurysm of the abdominal artery has been found occasionally, but being accompanied with arteriovenous fistula detected by CT angiography has rarely been reported. A preoperative clinical diagnosis of infected aneurysm and arteriovenous fi...

A 78-year-old man presented at Eulji University Hospital due to an abdominal aortic aneurysm with maximum diameter of 52 mm, which had been increased from 45 mm over 6 months. He underwent embolization of the left internal iliac artery with vascular plug, prior to endovascular abdominal aortic repair with a bifurcated stent graft system. Unfortunately, the inserted vascular plug was maldeployed...

Arteriocolic fistula is a rare but life-threatening condition. We report the case of a 70-year-old man who presented with passage of bloody stools and intolerable abdominal pain. Esophagogastroduodenoscopy and colonoscopy failed to identify the source of the bleeding. Contrast-enhanced abdominal computed tomographic scans showed an aneurysm arising from the left common iliac artery with close a...