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Isolated internal iliac artery aneurysm causing rectal necrosis due to compression early after endovascular repair: A case report

INTRODUCTION: Recently, endovascular repair has become the first-line treatment for internal iliac artery aneurysm (IIAA). However, rectal necrosis due to the compression of the residual IIAA early after endovascular repair is rare. PRESENTATION OF CASE: We present a rare case of a huge, isolated le...

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Autores principales: Imagami, Toru, Takayama, Satoru, Hattori, Taku, Matsui, Ryohei, Kani, Hisanori, Tanaka, Akimitsu, Kurokawa, Satoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661381/
https://www.ncbi.nlm.nih.gov/pubmed/31351368
http://dx.doi.org/10.1016/j.ijscr.2019.07.016
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author Imagami, Toru
Takayama, Satoru
Hattori, Taku
Matsui, Ryohei
Kani, Hisanori
Tanaka, Akimitsu
Kurokawa, Satoshi
author_facet Imagami, Toru
Takayama, Satoru
Hattori, Taku
Matsui, Ryohei
Kani, Hisanori
Tanaka, Akimitsu
Kurokawa, Satoshi
author_sort Imagami, Toru
collection PubMed
description INTRODUCTION: Recently, endovascular repair has become the first-line treatment for internal iliac artery aneurysm (IIAA). However, rectal necrosis due to the compression of the residual IIAA early after endovascular repair is rare. PRESENTATION OF CASE: We present a rare case of a huge, isolated left IIAA that severely compressed the rectum and ureter. The patient underwent emergency endovascular repair; however, rectal necrosis occurred 10 days later because the repair failed to shrink the size of the aneurismal sac. DISCUSSION: We hypothesize that the compression of the residual IIAA caused rectal necrosis. During open surgery, endovascular repair disrupted blood flow within the IIAA, which probably allowed for aneurysm dissection and residual hematoma removal. CONCLUSION: Endovascular repair alone could not immediately release compression on the surrounding organs; however, open surgical removal of aneurysms after successful endovascular repair may be a useful option for IIAAs with compression of surrounding organs.
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spelling pubmed-66613812019-08-01 Isolated internal iliac artery aneurysm causing rectal necrosis due to compression early after endovascular repair: A case report Imagami, Toru Takayama, Satoru Hattori, Taku Matsui, Ryohei Kani, Hisanori Tanaka, Akimitsu Kurokawa, Satoshi Int J Surg Case Rep Article INTRODUCTION: Recently, endovascular repair has become the first-line treatment for internal iliac artery aneurysm (IIAA). However, rectal necrosis due to the compression of the residual IIAA early after endovascular repair is rare. PRESENTATION OF CASE: We present a rare case of a huge, isolated left IIAA that severely compressed the rectum and ureter. The patient underwent emergency endovascular repair; however, rectal necrosis occurred 10 days later because the repair failed to shrink the size of the aneurismal sac. DISCUSSION: We hypothesize that the compression of the residual IIAA caused rectal necrosis. During open surgery, endovascular repair disrupted blood flow within the IIAA, which probably allowed for aneurysm dissection and residual hematoma removal. CONCLUSION: Endovascular repair alone could not immediately release compression on the surrounding organs; however, open surgical removal of aneurysms after successful endovascular repair may be a useful option for IIAAs with compression of surrounding organs. Elsevier 2019-07-19 /pmc/articles/PMC6661381/ /pubmed/31351368 http://dx.doi.org/10.1016/j.ijscr.2019.07.016 Text en © 2019 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Imagami, Toru
Takayama, Satoru
Hattori, Taku
Matsui, Ryohei
Kani, Hisanori
Tanaka, Akimitsu
Kurokawa, Satoshi
Isolated internal iliac artery aneurysm causing rectal necrosis due to compression early after endovascular repair: A case report
title Isolated internal iliac artery aneurysm causing rectal necrosis due to compression early after endovascular repair: A case report
title_full Isolated internal iliac artery aneurysm causing rectal necrosis due to compression early after endovascular repair: A case report
title_fullStr Isolated internal iliac artery aneurysm causing rectal necrosis due to compression early after endovascular repair: A case report
title_full_unstemmed Isolated internal iliac artery aneurysm causing rectal necrosis due to compression early after endovascular repair: A case report
title_short Isolated internal iliac artery aneurysm causing rectal necrosis due to compression early after endovascular repair: A case report
title_sort isolated internal iliac artery aneurysm causing rectal necrosis due to compression early after endovascular repair: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661381/
https://www.ncbi.nlm.nih.gov/pubmed/31351368
http://dx.doi.org/10.1016/j.ijscr.2019.07.016
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