A rare cause of massive rectal bleeding: internal iliac artery aneurysm. 2006

N Ağaoğlu, and M Kerim Arslan, and H Dinç
Karadeniz Technical University, Faculty of Medicine, Department of General Surgery, Trabzon, Turkey. nagaoglu@meds.ktu.edu.tr

Internal iliac artery aneurysm is a rare cause of lower gastro-intestinal tract (GIT) haemorrhage. A fifty-four year old male patient presented with massive rectal bleeding. Sigmoidoscopy was not conclusive and pelvic angiography revealed an aneurysm from a branch off the main trunk of the anterior division of the right internal iliac artery that was located in juxtaposition to the sigmoid colon. The aneurysm was successfully obliterated by transcatheter arterial embolotherapy with acrylic glue. A high index of suspicion of internal iliac artery aneurysm as a possible cause of lower GIT haemorrhage is of paramount importance. Pelvic angiography is essential for the diagnosis, and embolotherapy with acrylic glue was an effective treatment method in this patient.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D012007 Rectum The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL. Rectums
D006471 Gastrointestinal Hemorrhage Bleeding in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM. Hematochezia,Hemorrhage, Gastrointestinal,Gastrointestinal Hemorrhages,Hematochezias
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000792 Angiography Radiography of blood vessels after injection of a contrast medium. Arteriography,Angiogram,Angiograms,Angiographies,Arteriographies
D017543 Iliac Aneurysm Abnormal balloon- or sac-like dilatation in the wall of any one of the iliac arteries including the common, the internal, or the external ILIAC ARTERY. Aneurysm, Iliac,Aneurysms, Iliac,Iliac Aneurysms

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