Spontaneous Rupture of Aortoiliac Aneurysm into Left Common Iliac Vein Combined with Gastric Leiomyoma: A case report

ABSTRACT

The spontaneous rupture of abdominal aorto-iliac aneurysm into inferior vena cava or iliac vein is rare, with a reported incidence of 3% to 4% of all ruptured aneurysm(1,2). This is the most frequent cause of a major abdominal arteriovenous fistula (AVF)(1). We experienced a spontaneous rupture of abdominal aorto-iliac aneurysm into left common iliac vein with gastric leiomyoma in a 64 year-old female patient. The management of abdominal aortic aneurysm with neoplasm of digestive organ is still controversial. We have successfully managed these two lesions by simultaneous operation without any surgical complication. We report the case and briefly review the literature.