The ACS was caused by rupture of abdominal aortic aneurysm in vena cava followed by edema of the abdominal organs, retroperitoneum, abdominal wall and ascites. Caval endoaneurysmatic suture and aortobiiliac bypass with 18 x 9 mm Dacron prothesis solved aortocaval fistula as well as all the organs and metabolic dysfunctions caused by ACS.

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Isolated aneurysm of the internal iliac artery should be considered by differential diagnosis in any case of the occurence of disorders of the pervic organs functions. Clinical findings, ultrasound examination, computed tomography and angiography are the diagnostic techniqnes of choice which can confirm the diagnosis. Surgical treatment with the use of retroperitoneal approach lead to complete recovery, so it could be considered the method of choice for patients with the condition permitting a radical surgical approach.

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Introduction: According to statistics damage venous circulation of the lower extremities are among the most common diseases in the world. Although the treatment varicose veins (VV) modernized using non-invasive-endovenous procedures, forecast on short term is not quite satisfactory. Aim of this study was to examine the results of treatment vv lower extremities to the appearance of improving the quality of life and the emergence of recurrence 1 year after operating (OP) and endovenous laser ablation (EVLA) treatment. Methods: VV patients who were operated classic surgical method (OP) were the OP group (n-36) and the patients who were treated EVLA method were the EVLA group (n-36). We studied quality of life the patients after 1 year of treatment by Aberdeen's questionnaire and the occurrence of recurrence. Results: Between the two groups there was no difference in terms of risk factors before OP / EVLA treatment, as well as in terms of disease severity assessed CEAP classifi cation. Quality of life after 1 year showed that there were no differences between the two groups (5.288 / 7.444, p <0.076). However, symptoms of patients in both groups improved after 1 year of intervention, the pain is to reduce the OP group to 61%, in EVLA group by 87% (p <0.017) Also, after 1 year there was no signifi cant difference in recurrence occurs between OP and EVLA group. (10/36 to 27.8% in the group of OP 6/36 to 16.7 %% in EVLA group). Of the risk factors in multivariate analysis on the phenomenon of recurrence a previous deep vein thrombosis was signifi cantly infl uenced (p = 0.011). Conclusion: Patients after 1 year of treatment OP or EVLA of varicose veins had signifi cantly fewer symptoms, particularly patients who were EVLA group Differences between groups were not signifi cant in terms of the recurrence and the quality of life.