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Internal iliac artery pseudoaneurysm: a rare presentation with foot drop and sciatica
Author(s) -
Pradeep Ramakrishnan,
Milind Padmakar Hote,
Nanditha Sreedhar,
Sanjeev Kumar,
Vishwas Malik,
Shiv Kumar Choudhary
Publication year - 2018
Publication title -
indian journal of thoracic and cardiovascular surgery/indian journal of thoracic and cardiovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 9
eISSN - 0973-7723
pISSN - 0970-9134
DOI - 10.1007/s12055-018-0760-x
Subject(s) - medicine , sciatica , pseudoaneurysm , asymptomatic , surgery , presentation (obstetrics) , foot drop , external iliac artery , internal iliac artery , vascular surgery , radiology , cardiac surgery , aneurysm
Internal iliac artery pseudoaneurysm is rare in incidence with most of them being asymptomatic. It may present with neurologic symptoms like paraesthesia, sciatica, weakness of lower limb, foot drop, etc., and in such scenario, high index of suspicion is needed to diagnose. Early intervention should be the strategy in all symptomatic and in asymptomatic cases with size > 4 cm diameter. We present a case of a 40-year-old female with left internal iliac artery pseudoaneurysm who presented with foot drop and sciatica, which is a very rare presentation, and was managed successfully by resection and interposition grafting.

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