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Abdominal point tenderness and an impending aneurysmal rupture

Smith, David A., MPAS, PA-C; Kaplan, Lewis J., MD

Journal of the American Academy of PAs: October 2018 - Volume 31 - Issue 10 - p 32–34
doi: 10.1097/01.JAA.0000544301.08083.cf
Case Report

ABSTRACT Although isolated iliac artery aneurysms are rare and occur in only 2% of patients, isolated internal iliac artery aneurysms are even more uncommon. Patients with these aneurysms require urgent vascular surgery consultation and evaluation; untreated aneurysms have a high propensity to increase in size and rupture. Providers should be aware of this critical incidental finding on CT scan and MRI and know when to initiate an emergency workup and therapy.

David A. Smith is an assistant professor in the PA program at Salus University in Elkins Park, Pa., and practices in the surgical ICU at the Philadelphia (Pa.) VA Medical Center and the ED at Mercy Suburban Hospital in East Norriton, Pa. Lewis J. Kaplan is director of surgical critical care at the Philadelphia VA Medical Center and an associate professor of surgery at the University of Pennsylvania's Perelman School of Medicine in Philadelphia. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Copyright © 2018 American Academy of Physician Assistants
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