Aneurisma de artéria ilíaca interna roto: relato de caso / Ruptured internal iliac artery aneurysm: case report
J. vasc. bras
; 8(1): 92-96, jan.-mar. 2009. ilus
Article
in Portuguese
| LILACS
| ID: lil-514857
Responsible library:
BR44.1
RESUMO
Aneurismas isolados da artéria ilíaca interna são raros, acometem 0,1 por cento da população e correspondem a 1 por cento dos aneurismas aorto-ilíacos. Na maioria das vezes, os pacientes são assintomáticos, mas podem apresentar dor abdominal, massa pulsátil no hipogástrio ou na fossa ilíaca, sintomas compressivos urinários, gastrointestinais ou neurológicos. Podem ocasionar quadro de abdome agudo, principalmente quando há ruptura. O diagnóstico precoce dos aneurismas isolados de artéria ilíaca interna é incomum, sendo identificados quando mais volumosos ou rotos, o que aumenta significativamente sua morbimortalidade e torna seu prognóstico mais reservado. Dessa forma, representam um desafio terapêutico. A ligadura cirúrgica tem sido o tratamento mais comum, entretanto a cirurgia endovascular tem mostrado bons resultados, inclusive nos aneurismas rotos. É relatado caso de aneurisma de artéria ilíaca interna isolado roto diagnosticado durante laparotomia para abordagem de abdome agudo.
ABSTRACT
Isolated internal iliac artery aneurysms are rare. They affect 0.1 percent of the population, and account for 1 percent of aortoiliac aneurysms. Patients are mostly asymptomatic, yet they can have abdominal pain, pulsatile mass in the hypogastrium or iliac fossa, or urinary, gastrointestinal or neurological compressive symptoms. Such aneurysms are likely to course with an acute abdomen, especially when ruptured. Early diagnosis of isolated internal iliac artery aneurysms is difficult, as they are more easily detected when larger or ruptured, which significantly raises their morbidity and mortality rate and determines a poor prognosis. Therefore, they are a therapeutic challenge. Surgical ligation has been the most common treatment; however, the endovascular approach has presented good outcomes, even in the event of ruptured aneurysms. A case of ruptured isolated iliac artery aneurysm diagnosed during a laparotomy (acute abdomen approach) is reported.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Aneurysm, Ruptured
/
Abdomen, Acute
/
Iliac Artery
Type of study:
Prognostic study
/
Screening study
Limits:
Aged
/
Humans
/
Male
Language:
Portuguese
Journal:
J. vasc. bras
Journal subject:
Cardiology
Year:
2009
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
UFMG/BR