Right iliac arterial aneurysm in a 4-year-old girl who does not have a right external iliac artery

Abstract

Pediatric arterial aneurysm is rare disease. Among them, idiopathic-congenital arterial aneurysm is extremely rare. This is a case report of right common iliac artery idiopathic aneurysm with absence of right external iliac artery. A 4-year-old girl who had been complaining of intermittent abdominal pain since 2 years prior presented with a right lower abdominal mass that had been palpable since 6 months prior. Abdominal CT revealed a 5.2 cm × 4.5 cm × 5.1 cm, right-sided, partially thrombosed, saccular, iliac artery aneurysm. She underwent to operation, aneurismal resection. A pathological examination confirmed that it was a true aneurysm, considering that all layers of the vascular wall were stretched with no deficit. The patient was discharged 3 days after the surgery without any complication. Five months passed since the surgery, and the patient is doing well without any abdominal or leg pain.

Aneurisma idiopático de artéria ilíaca comum direita em criança de três anos - relato de caso

“… 2 , 3 There are reports in the literature describing use of grafts (prosthetic grafts, cryopreserved veins, and autologous grafts), embolization, plication, and resection with primary anastomosis. 1 , 3 , 6 - 9 The last of these was chosen in this case. It is recommended that single sutures be used all around the anastomosis circumference, since continuous sutures can be a risk factor for stenosis as the child grows.…”

“…The incidence of iliac aneurysms in children is unknown and there are only a small number of case reports on the subject in the literature. 1 The most common etiologies of arterial aneurysms include infection, arterites, connective tissue diseases, fibromuscular dysplasia, and trauma, and idiopathic aneurysms are the least frequent. 2 …”

“…A incidência de aneurismas ilíacos em crianças não é conhecida, havendo apenas alguns relatos de casos na literatura sobre o tema 1 . As etiologias mais frequentes de aneurismas arteriais incluem infecção, arterites, doenças do tecido conjuntivo, displasia fibromuscular e trauma, sendo os aneurismas idiopáticos os menos frequentes 2 .…”

Neonatal idiopathic aneurysm of the common iliac artery

“…Aneurysms in the pediatric population are very rare. Moreover, there are just a few case reports regarding iliac aneurysms 1, 2, 3, 4, 5, 6, 7, 8. Based on autopsy series in adults, the incidence of isolated iliac artery aneurysms is approximately 0.03% 9 .…”

Pediatric Vascular Surgery Review with a 30-Year-Experience in a Tertiary Referral Center

“…1 ), which was patent for more than 5 years. A case of idiopathic iliac artery aneurysm in a 4-year-old girl was reported elsewhere [ 13 ]. The girl presented with a 5-cm-sized pulsatile abdominal mass without pain or leg discomfort.…”