Traumatic Intimal Dissection with Occlusion of Common Iliac Artery Associated with Lumbar Spine Fracture: Case Report

External iliac arterial dissection after robot‐assisted radical cystectomy with an intracorporeal ileal conduit and extended pelvic lymph node dissection

“…Vascular occlusion caused by traumatic iliac artery deviation differs from chronic diseases, such as atherosclerosis obliterans due to poorly developed collateral blood vessels. Therefore, ischemic symptoms in the lower limbs are progressive, and delay in diagnosis and treatment can cause lower limb necrosis, making it difficult to save the limbs 5 …”

“…Asymptomatic cases are treated conservatively. However, in the case of severe symptoms of lower limb ischemia due to arterial occlusion, it is necessary to take the dynamic CT as soon as possible 5 . The rate of limb amputation due to lower extremity arterial occlusion is 5–30%.…”

“…Therefore, ischemic symptoms in the lower limbs are progressive, and delay in diagnosis and treatment can cause lower limb necrosis, making it difficult to save the limbs. 5 …”

“…However, in the case of severe symptoms of lower limb ischemia due to arterial occlusion, it is necessary to take the dynamic CT as soon as possible. 5 The rate of limb amputation due to lower extremity arterial occlusion is 5–30%. The golden time for treatment is 6–8 h. In this case, the patient had persistent pain in the lower limb even on the day after surgery.…”