Isolated arteriosclerotic aneurysms of the iliac arteries. Clinical picture, diagnosis and therapy with special reference to x-ray findings
Hagen, B.
Der Radiologe 26(7): 353-360
1986
ISSN/ISBN: 0033-832X PMID: 3749505 Document Number: 282011
Isolated aneurysms of the iliac arteries (IA) represent a distinct clinical entity and must be differentiated in this regard from abdominal aortic aneurysms (AA). They may be well characterized within the spectrum of aneurysmic diseases by their localization and their close topographical relationship to neighboring organs. As they cannot be palpated as well as infrarenal AA, they are prone to develop to a considerable size without producing clinical symptoms. The difficulties in diagnosing an IA can be attributed to its relationship with the urogenital, the gastrointestinal and neuromuscular systems as well as with the large veins in the depth of the pelvis. The prognosis can be considered less favorable than that of other AA as iliac structures are involved and the evolution of the process is more advanced at the time of diagnosis. Four cases of arteriosclerotic IA are presented. They demonstrate the specific nature of the disease at different stages of evolution, characterized by clinical course and complications. It must be emphasized that distinct, staged imaging techniques should be used, applying conventional and modern radiological procedures, according to the urgency of the envisaged surgical approach.