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Internal iliac artery pseudoaneurysm: a rare presentation with foot drop and sciatica

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Abstract

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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Authors and Affiliations

  1. Department of Cardiothoracic and Vascular Surgery, CTVS Office, All India Institute of Medical Sciences(AIIMS), 7th floor, C N centre, New Delhi, 110029, India

    Ramakrishnan Pradeep, Milind Padmakar Hote & Shiv Kumar Choudhary

  2. Department of Cardiac Anaesthesia, CTVA Office, AIIMS, 7th Floor, C N Centre, New Delhi, 110029, India

    Nanditha Sreedhar & Vishwas Malik

  3. Department of Cardiac Radiology, Cardiac Radiology Office, AIIMS, Ground floor, C N Centre, New Delhi, 110029, India

    Sanjeev Kumar

Authors
  1. Ramakrishnan Pradeep
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  2. Milind Padmakar Hote
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  3. Nanditha Sreedhar
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  4. Sanjeev Kumar
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  5. Vishwas Malik
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  6. Shiv Kumar Choudhary
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Corresponding author

Correspondence to Ramakrishnan Pradeep.

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The authors declare that they have no conflict of interest.

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All procedures performed in this study were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from parents of the patient in this report.

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Ramakrishnan, P., Hote, M.P., Sreedhar, N. et al. Internal iliac artery pseudoaneurysm: a rare presentation with foot drop and sciatica. Indian J Thorac Cardiovasc Surg 35, 222–225 (2019). https://doi.org/10.1007/s12055-018-0760-x

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  • DOI: https://doi.org/10.1007/s12055-018-0760-x

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