Ruptured external iliac artery pseudoaneurysm following surgery for ovarian cancer: A case report and literature review

Abstract

Ruptured pseudoaneurysm following pelvic surgery is a rare and fatal complication. Because of its rarity, existing evidence is limited to a small case series. A 60-year-old woman underwent staging laparotomy, including pelvic and para-aortic lymphadenectomy, for ovarian cancer. On the 11th day, the patient developed a sudden lumbar pain and loss of consciousness, which resulted in a state of shock. She was diagnosed as having a pelvic abscess and ruptured external iliac artery pseudoaneurysm. We performed ligation of the external iliac artery to restrain hemorrhage and femoro-femoral artery bypass to prevent infection, which saved the patient's life. Our study had two findings. First, this is the first reported case of ruptured external iliac artery pseudoaneurysm following surgery for ovarian cancer. Second, treatment of ruptured pseudoaneurysm requires rapid hemostasis, prevention of infection, and revascularization.

Combined therapy using interventional radiology and surgical management for a ruptured pseudoaneurysm of the iliac artery: A case report

“…However, the procedure could be extremely challenging depending upon the extent of the damage that the infection has inflicted on the arterial wall. Several studies have described combined therapy using catheter embolization and surgical revascularization via a femorofemoral artery bypass for a ruptured pseudoaneurysm of the iliac artery [[7], [8], [9]]. After temporary vascular control has been achieved with occlusion of the common or external iliac arteries, surgical revascularization is required to prevent ischemia in the ipsilateral lower extremity.…”

An External Iliac Artery Pseudoaneurysm Resulting From Stent Graft Migration

“…While there are several reports that describe the outcomes of EIA aneurysms following iatrogenic complications, 2 -5 to the best of our knowledge, there are no reports of EIA pseudoaneurysms resulting from stent graft migration. Here, we describe a rare case in which endovascular treatment was required for the repair of an EIA pseudoaneurysm resulting from stent graft migration.…”

A Bail Out Solution for an Urgent Situation: Endovascular Exclusion and Embolization of an Infected Femoral Pseudoaneurysm

“…3 Endovascular exclusion of the bleeding area has been described, 4e 6 especially in patients not fit for such a risky surgery or as a bridge therapy until definitive surgery. In the infection of material (graft or patch) in the groin several options have been described, such as obturator canal bypass, 7 femoro-femoral bypass, 8 or transperineal bypass 9 or even ligation.…”