Treatment for Ruptured Internal Iliac Artery Aneurysm with Concomitant Recto-Sigmoidal Resection

(Department of Cardiovascular Surgery and Department of Surgery*, Yokohama Sakae Kyousai Hospital, Yokohama, Japan)

Susumu Fujii Shigeharu Sawa Hiroshi Nagamine
Tohru Watanabe*
We describe a ruptured internal iliac artery aneurysm associated with sigmoid colon infarction. The patient was referred to our hospital complaining of lower abdominal pain. Computed tomography scan demonstrated a massive hematoma with a ruptured left internal iliac artery aneurysm. Hypovolemic shock prompted immediate laparotomy, endoaneurysmorrhaphy of the ruptured aneurysm, and resection of the recto-sigmoidal colon. During treatment for ruptured internal iliac aneurysm, we should consider potential colon infarction.
@Jpn. J. Cardiovasc. Surg. 37: 167-170 (2008)