Spontaneous and isolated
dissection of the
limb arteries without involvement of the
aorta is extremely rare, and has been reported previously in pregnant
patients in
association with
collagen vascular disease, and in cases of high-energy
trauma or intensive activity in
athletes. There is no
consensus yet on indications for medical or surgical
therapeutic modality. Due to the rarity of spontaneous
dissection of external
iliac artery, its
natural history has been poorly described. A healthy 50-year-old
male with normotension was admitted with an acute onset of
left flank pain. Left external
iliac artery dissection was diagnosed by abdominal computed
tomography.