Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492009005000006
Jornal Vascular Brasileiro
Case report

Aneurisma de artéria ilíaca interna roto: relato de caso

Cristina Toledo Afonso; Ricardo Jayme Procópio; Túlio Pinho Navarro; Gustavo Henrique Dumont Kleinsorge; Beatriz Deoti e Silva Rodrigues; Marco Antônio Gonçalves Rodrigues

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Resumo

Aneurismas isolados da artéria ilíaca interna são raros, acometem 0,1% da população e correspondem a 1% dos aneurismas aorto-ilíacos. Na maioria das vezes, os pacientes são assintomáticos, mas podem apresentar dor abdominal, massa pulsátil no hipogástrio ou na fossa ilíaca, sintomas compressivos urinários, gastrointestinais ou neurológicos. Podem ocasionar quadro de abdome agudo, principalmente quando há ruptura. O diagnóstico precoce dos aneurismas isolados de artéria ilíaca interna é incomum, sendo identificados quando mais volumosos ou rotos, o que aumenta significativamente sua morbimortalidade e torna seu prognóstico mais reservado. Dessa forma, representam um desafio terapêutico. A ligadura cirúrgica tem sido o tratamento mais comum, entretanto a cirurgia endovascular tem mostrado bons resultados, inclusive nos aneurismas rotos. É relatado caso de aneurisma de artéria ilíaca interna isolado roto diagnosticado durante laparotomia para abordagem de abdome agudo.

Palavras-chave

Aneurisma roto, artéria ilíaca, abdome agudo

References

Olsen PS, Schroeder T, Agerskov K. Surgery for abdominal aortic aneurysms: A survey of 656 patients. J Cardiovasc Surg.. 1991;32:636-42.

Richardson JW, Greenfield LJ. Natural history and management of iliac aneurysms. J Vasc Surg.. 1988;8:165-71.

Schuler JJ, Flanigan DP. Iliac artery aneurysms. Aneurysms, diagnosis and treatment. 1982:469-85.

McCready RA, Pairolero PC, Gilmore JC, Kazmier FJ, Cherry KJ, Hollier LH. Isolated iliac artery aneurysms. Surgery. 1983;93:688-93.

Krupski WC, Selzman CH, Floridia R, Strecker PK, Nehler MR, Whitehill TA. Contemporary management of isolated iliac aneurysms. J Vasc Surg.. 1998;28:1-11.

Dix FP, Titi M, Al-Khaffaf H. The isolated internal iliac artery aneurysm: a review. Eur J Vasc Endovasc Surg.. 2005;30:119-29.

Chapman EM, Shaw RS, Kubik CS. Sciatic pain from arteriosclerotic aneurysm of pelvic arteries. N Engl J Med.. 1964;271:1410-1.

Wider C, Kuntzer T, Von Segesser LK, Qanadli SD, Bogousslavsky J, Vingerhoets F. Bilateral compressive lumbosacral plexopathy due to internal iliac artery aneurysms. J Neurol.. 2006;253:809-10.

Honma I, Takagi Y, Shigyo M, Sunaoshi K, Inaoka M, Miyao N. Massive hematuria after cystoscopy in a patient with an internal iliac artery aneurysm. Int J Urol.. 2002;9:407-9.

Mineta K, Nomura M, Fujimoto N, Takahashi K, Matsumoto T. Ureteral obstruction due to retroperitoneal fibrosis secondary to a solitary internal iliac aneurysm. Int J Urol.. 2004;11:1024-27.

O'Driscoll D, Fitzgerald E. Isolated iliac artery aneurysms with associated hydronephrosis. J R Coll Surg Edinb.. 1999;44:197-9.

Wu C, Nguyen BD, Regan F. An internal iliac artery aneurysm masquerading as a rectal mass. Clin Radiol.. 2000;55:319-20.

Ozergin U, Vatansev C, Durgut K, Ozulku M, Gormus N. An internal iliac artery aneurysm causing a colonic obstruction: report of a case. Surg Today.. 2001;31:839-41.

Rosenthal D, Matsuura JH, Jerius H, Clark MD. Iliofemoral venous thrombosis caused by compression of an internal iliac artery aneurysm: a minimally invasive treatment. J Endovasc Surg.. 1998;5:142-5.

Su WT, Goldman KA, Riles TS, Rosen R. Deep venous thrombosis with pulmonary embolus after selective embolization of an internal iliac artery aneurysm. J Vasc Surg.. 1996;23:152-5.

Jackman RJ, McGuarrie HB, Edwards JE. Fatal hemorrhage caused by aneurysm of the internal iliac artery: report of a case. Proc Mayo Clinic.. 1948;23:305.

De Donato G, Neri E, Baldi I, Setacci C. Rupture of internal iliac artery aneurysm presenting as rectus sheath hematoma: case report. J Vasc Surg.. 2004;39:250-3.

Boyarsky AH, Burks WP, Davidson JT, Chandler JJ. Ruptured aneurysm of the internal iliac artery. South Med J.. 1985;78:1356-7.

Raptopoulos V, Rosen MP, Kent KC, Kuestner LM, Sheiman RG, Pearlman JD. Sequential helical CT angiography of aortoiliac disease. AJR Am J Roentgenol.. 1996;166:1347-54.

Rieker O, Duber C, Neufang A, Pitton M, Schweden F, Thelen M. CT angiography versus intraarterial digital subtraction angiography for assessment of aortoiliac occlusive disease. AJR Am J Roentgenol.. 1997;169:1133-8.

Todd GJ, Nowygrod R, Benvenisty A, Buda J, Reemtsma K. The accuracy of CT scanning in the diagnosis of abdominal and thoracoabdominal aortic aneurysms. J Vasc Surg.. 1991;13:302-10.

Santilli SM, Wernsing SE, Lee ES. Expansion rates and outcomes for iliac artery aneurysms. J Vasc Surg.. 2000;31:114-21.

Owen RJ, Jackson R, Loose HW, Lees TA, Dunlop P, Rose JD. Percutaneous ablation of an internal iliac aneurysm using tissue adhesive. Cardiovasc Intervent Radiol.. 2000;23:389-91.

Ruurda JP, Rijbroek A, Vermeulen EG, Wisselink W, Rauwerda JA. Continuing expansion of internal iliac artery aneurysms after surgical exclusion of the inflow: A report of two cases. J Cardiovasc Surg.. 2001;42:389-92.

Carvalho ATY, Prado V, Neto HJG, Caffaro RA. Aspectos cirúrgicos dos aneurismas isolados das artérias ilíacas. J Vasc Bras.. 2006;5:203-8.

Chaer RA, Barbato JE, Lin SC, Zenati M, Kent KC, McKinsey JF. Isolated iliac artery aneurysms: a contemporary comparison of endovascular and open repair. J Vasc Surg.. 2008;47:708-13.

Van Kelckhoven BJ, Bruijninckx BM, Knippenberg B, Van Overhagen H. Ruptured internal iliac artery aneurysm: staged emergency endovascular treatment in the interventional radiology suite. Cardiovasc Intervent Radiol.. 2007;30:774-7.

Ricci MA, Najarian K, Healey CT. Successful endovascular treatment of a ruptured internal iliac aneurysm. J Vasc Surg.. 2002;35:1274-6.

Silva AAM, Reis LF, Miquelin DG, Sano PY, Pereira VS, Godoy JMP. Tratamento endovascular de aneurisma de ilíaca roto: relato de caso. J Vasc Bras.. 2007;6:78-81.

Lobato AC, Almeida FHM. Aneurismas periféricos: tratamento endovascular. Cirurgia vascular, cirurgia endovascular e angiologia. 2008:1339-50.

Karch LA, Hodgson KJ, Mattos MA, Bohannon WT, Ramsey DE, McLafferty RB. Adverse consequences of internal iliac artery occlusion during endovascular repair of abdominal aortic aneurysms. J Vasc Surg.. 2000;32:676-83.

Bratby MJ, Munneke GM, Belli AM. How safe is bilateral internal iliac artery embolization prior to EVAR?. Cardiovasc Intervent Radiol.. 2008;31:246-53.

Faries PL, Morrissey N, Burks JA. Internal iliac artery revascularization as an adjunct to endovascular repair of aortoiliac aneurysms. J Vasc Surg.. 2001;34:892-9.

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