True Saccular Aneurysm at the Iliac Bifurcation in an Adolescent: Case Report and Review of Lower Limb Vascular Embryology

Introduction: Isolated iliac artery aneurysms are an uncommon occurrence in the absence of concurrent aortic disease in the adult population and are a rare entity in children and adolescents. Paediatric patients may present with false aneurysms less frequently but true aneurysms are exceptional. In...

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Autores principales:	Samuel C.J. Hawthorne, Noel R. Atkinson, Korana Musicki
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Iliac artery Paediatrics Sciatic artery True aneurysm Diseases of the circulatory (Cardiovascular) system RC666-701 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/cc78f4e535d2476895ae33958e226de4
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spelling	oai:doaj.org-article:cc78f4e535d2476895ae33958e226de42021-11-22T04:32:56ZTrue Saccular Aneurysm at the Iliac Bifurcation in an Adolescent: Case Report and Review of Lower Limb Vascular Embryology2666-688X10.1016/j.ejvsvf.2021.10.016https://doaj.org/article/cc78f4e535d2476895ae33958e226de42021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666688X21000551https://doaj.org/toc/2666-688XIntroduction: Isolated iliac artery aneurysms are an uncommon occurrence in the absence of concurrent aortic disease in the adult population and are a rare entity in children and adolescents. Paediatric patients may present with false aneurysms less frequently but true aneurysms are exceptional. In this report, the case of an iliac bifurcation true saccular aneurysm is described. Report: An 18 year old woman without history of infection, trauma, connective tissue disorders, or vasculitis, was referred with an incidental left iliac bifurcation saccular aneurysm. She underwent open surgical resection of the aneurysm with primary re-anastomosis of the common to external iliac arteries and ligation of the internal iliac artery. Histopathological assessment did not show any inflammatory or other underlying disease process. Discussion: A case is presented of an isolated iliac bifurcation true aneurysm in an adolescent and its successful treatment. It is plausible that incomplete involution of the embryologically dominant sciatic artery may have been the cause for this presentation and for other congenital iliac artery aneurysms. Literature review of other paediatric iliac aneurysms shows an array of postulated underlying causes and treatment strategies.Samuel C.J. HawthorneNoel R. AtkinsonKorana MusickiElsevierarticleIliac arteryPaediatricsSciatic arteryTrue aneurysmDiseases of the circulatory (Cardiovascular) systemRC666-701SurgeryRD1-811ENEJVES Vascular Forum, Vol 53, Iss , Pp 30-35 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Iliac artery Paediatrics Sciatic artery True aneurysm Diseases of the circulatory (Cardiovascular) system RC666-701 Surgery RD1-811
spellingShingle	Iliac artery Paediatrics Sciatic artery True aneurysm Diseases of the circulatory (Cardiovascular) system RC666-701 Surgery RD1-811 Samuel C.J. Hawthorne Noel R. Atkinson Korana Musicki True Saccular Aneurysm at the Iliac Bifurcation in an Adolescent: Case Report and Review of Lower Limb Vascular Embryology
description	Introduction: Isolated iliac artery aneurysms are an uncommon occurrence in the absence of concurrent aortic disease in the adult population and are a rare entity in children and adolescents. Paediatric patients may present with false aneurysms less frequently but true aneurysms are exceptional. In this report, the case of an iliac bifurcation true saccular aneurysm is described. Report: An 18 year old woman without history of infection, trauma, connective tissue disorders, or vasculitis, was referred with an incidental left iliac bifurcation saccular aneurysm. She underwent open surgical resection of the aneurysm with primary re-anastomosis of the common to external iliac arteries and ligation of the internal iliac artery. Histopathological assessment did not show any inflammatory or other underlying disease process. Discussion: A case is presented of an isolated iliac bifurcation true aneurysm in an adolescent and its successful treatment. It is plausible that incomplete involution of the embryologically dominant sciatic artery may have been the cause for this presentation and for other congenital iliac artery aneurysms. Literature review of other paediatric iliac aneurysms shows an array of postulated underlying causes and treatment strategies.
format	article
author	Samuel C.J. Hawthorne Noel R. Atkinson Korana Musicki
author_facet	Samuel C.J. Hawthorne Noel R. Atkinson Korana Musicki
author_sort	Samuel C.J. Hawthorne
title	True Saccular Aneurysm at the Iliac Bifurcation in an Adolescent: Case Report and Review of Lower Limb Vascular Embryology
title_short	True Saccular Aneurysm at the Iliac Bifurcation in an Adolescent: Case Report and Review of Lower Limb Vascular Embryology
title_full	True Saccular Aneurysm at the Iliac Bifurcation in an Adolescent: Case Report and Review of Lower Limb Vascular Embryology
title_fullStr	True Saccular Aneurysm at the Iliac Bifurcation in an Adolescent: Case Report and Review of Lower Limb Vascular Embryology
title_full_unstemmed	True Saccular Aneurysm at the Iliac Bifurcation in an Adolescent: Case Report and Review of Lower Limb Vascular Embryology
title_sort	true saccular aneurysm at the iliac bifurcation in an adolescent: case report and review of lower limb vascular embryology
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/cc78f4e535d2476895ae33958e226de4
work_keys_str_mv	AT samuelcjhawthorne truesaccularaneurysmattheiliacbifurcationinanadolescentcasereportandreviewoflowerlimbvascularembryology AT noelratkinson truesaccularaneurysmattheiliacbifurcationinanadolescentcasereportandreviewoflowerlimbvascularembryology AT koranamusicki truesaccularaneurysmattheiliacbifurcationinanadolescentcasereportandreviewoflowerlimbvascularembryology
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True Saccular Aneurysm at the Iliac Bifurcation in an Adolescent: Case Report and Review of Lower Limb Vascular Embryology

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