The isolated internal iliac artery aneurysm is rare, but can be fatal if non-diagnosed. Endovascular treatment of these aneurysms, ideally with exclusion of the sac from antegrade and retrograde perfusion, provides a minimally invasive alternative that avoids the direct operative morbidity.We present a case of a patient treated with embolization with coils of an aneurysm of the left internal iliac artery. Then, 6 months after the procedure, the patient suffered from recurrence of abdominal pain. CT scan confirmed patency of the aneurysmal sac. Therefore, he underwent second endovascular exclusion by an external iliac artery stentgraft by ipsilateral femoral access.In the angiography post-implantation, an endoleak was diagnosed. So, a second distal stentgraft was implanted in the external iliac artery. After implantation, a total exclusion of the aneurysm was obtained. The follow-up is now 3 months. The patient is asymptomatic.

False gluteal aneurysms are exceptional and may develop secondary to penetrating gluteal injury or pelvic trauma. They represent less than 1% of all aneurysms and they develop within the superior or inferior gluteal arteries, being branches of the internal iliac artery. A case of successfully embolization of a pseudo-aneurysm of the inferior gluteal artery discovered one month after a penetrating buttock trauma is presented. The postoperative course was uneventful, and the pain had resolved completely.

Mycotic aneurysms are irreversible dilatation, localized in the artery due to the destruction of the wall by an infectious agent. We present the case of a 65 year old man treated for saccular aortic aneurysm, infra-renal secondary to infection with Salmonella Paratyphi B. After appropriate antibiotic therapy, the patient underwent resection with aneurysmal debridement followed by anatomical reconstruction with a prosthetic graft.He recovered well and quickly returned to normal functional status.The mycotic aortic disease is rare, but severe. However, improved diagnostic tools, appropriate antibiotic treatment, recent surgical techniques have reduced the high mortality associated with this pathology.