OJRad  Vol.2 No.2 , June 2012
Internal Iliac Pseudoaneurysm Rupture Attributed to Perforated Hartmann’s Pouch Diagnosed on CT
Abstract: Rupture is a rare but disastrous complication of an arterial aneurysm. Intraabdominal abscess in association with iliac artery aneurysm is uncommon but can predispose to aneurysm rupture. We report the Computed Tomography (CT) findings of an internal iliac artery pseudoaneurysm formed by a pelvic abscess attributed to the perforation of the patient’s Hartmann’s pouch. Rupture of the pseudoaneurysm resulted in the patient’s death.
Cite this paper: J. Camden and L. Carucci, "Internal Iliac Pseudoaneurysm Rupture Attributed to Perforated Hartmann’s Pouch Diagnosed on CT," Open Journal of Radiology, Vol. 2 No. 2, 2012, pp. 52-54. doi: 10.4236/ojrad.2012.22009.

[1]   K. W. Johnston, R. B. Rutherford, M. D. Tilson, et al., “Suggested Standards for Reporting on Arterial Aneurysm. Subcommittee on Reporting Standards for Arterial Aneurysm, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery,” Journal of Vascular Surgery, Vol. 13, No. 3, 1991, pp. 452-458. doi:10.1067/mva.1991.26737

[2]   P. W. Zimmer, E. J. Raker and T. M. Quigley, “Isolated Hypogastric Artery Aneurysms,” Annals of Vascular Surgery, Vol. 13, No. 5, 1999, pp. 545-549. doi:10.1007/s100169900296

[3]   F. C Bakker, H. F. W. Hoitsma and G. Den Otter, “The Hartmann Procedure,” British Journal of Surgery, Vol. 69, No. 10, 1982, pp. 580-582. doi:10.1002/bjs.1800691007

[4]   E. J. C. Lubbers and H. M. M. de Boer, “Inherent Complications of Hartmann’s Operation,” Surg Gynecol Obstet, Vol. 155, No. 5, 1982, pp. 717-721.

[5]   J. Katoh, S. Shindo, S. Kina, et al., “Rupture of an Isolated Internal Iliac Artery Aneurysm into the Rectum: Report of a Case,” Surgery Today, Vol. 25, No. 6, 1995, pp. 554556. doi:10.1007/BF00311315

[6]   H. M. Noh, E. K.Fishman and D. A.Bluemke, “Isolated Common Iliac Artery Aneurysm Rupturing into Small Bowel: CT Appearance,” Abdominal Imaging, Vol. 20, No. 6, 1995, pp. 521-522. doi:10.1007/BF01256703

[7]   A. Ingu, N. Takagi, O.Izumiyama, et al. “Isolated Iliac Artery Aneursysmocolonic Fistula with Pericolic Abscess,” Ann Vasc Surg, Vol. 202, No. 16, pp. 663-665.