A Case of Internal Iliac Artery Aneurysm as a Fatal Cause Resulting in Acute Urinary Retention

Kong,  Dukyung; Kim,  Hyejin; Kang,  Taekyung; Oh,  Sungchan; Cho,  Sukjin; Lee,  Sanglae; Ryu,  Seokyong

J Korean Soc Emerg Med > Volume 22(4); 2011 > Article

Case Report

Journal of The Korean Society of Emergency Medicine 2011;22(4): 367-369.

A Case of Internal Iliac Artery Aneurysm as a Fatal Cause Resulting in Acute Urinary Retention

Dukyung Kong, Hyejin Kim, Taekyung Kang, Sungchan Oh, Sukjin Cho, Sanglae Lee, Seokyong Ryu

Department of Emergency Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea. ryuchoi64@paik.ac.kr

ABSTRACT

Internal iliac artery aneurysm (IIAA) is a type of abdominal aneurysm that is a rare cause of lower urinary tract symptoms because of its anatomic location. If diagnosed after rupture, it can be lethal and surgery is mandatory. A 57-year-old male presented with acute urinary retention and syncope. An intra-abdominal mass initially thought to be an aneurysm was apparent by ultrasound. A computed tomography scan of the abdomen confirmed an internal iliac artery aneurysm accompanied by rupture. The patient was discharged without any complications within 20 days after receiving a vascular graft and resection of the aneurysm.

Key words: Iliac aneurysm, Urinary retention