Aneurysm of the Internal Iliac Artery

Abstract

Aortoiliac aneurysmal dilatation may extend to involve the internal iliac artery in certain cases of generalized atherosclerosis. The presence of a symptomatic, isolated aneurysm of the internal iliac artery (hypogastric artery) represents an unusual finding. Such a lesion may manifest itself clinically by sudden rupture, pain, or localized pelvic symptoms involving the adjacent segments of the gastrointestinal or genitourinary systems. The 3 cases presented illustrate these findings, and the proper surgical management is suggested. A similar case presenting with urinary tract obstruction secondary to an aneurysm of the hypogastric artery was reported in 1947 by Goodwin and Shumacker.¹ <h3>Report of Cases</h3><h3>Case 1.</h3> —The patient was a 76-year-old white man who was first seen in the emergency division of the Strong Memorial Hospital, Rochester, on March 9, 1960. There was a 6-month history of lower abdominal pain which had increased in severity over the past 3 weeks, and which