1887
  1. Home
  2. A-Z Publications
  3. Journal of Emergency Medicine, Trauma and Acute Care
  4. Volume 2012, Issue 1
  5. Article
Volume 2012, Issue 1
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

A 72-year-old man presented with constipation. He was hypertensive and suffered from chronic constipation. On arrival, the patient was fully conscious, and his vital signs were stable. He requested an enema because this treatment had proved effective in the past. On physical examination, a hard palpable mass was detected in the lower abdomen. Computed tomography was performed with contrast media. It revealed an abdominal aortic aneurysm (AAA) and bilateral internal iliac artery aneurysms (IIAAs); the latter obstructing the sigmoid colon. We believe that this obstruction was the cause of constipation. The patient underwent Y-graft replacement for the treatment of the AAA and bilateral IIAAs. The surgery was successful, and constipation has not recurred since. As constipation is the most common digestive disorder in the general population, all physicians should be aware that chronic constipation can be caused by bilateral IIAAs.

© 2012 Morita, Yamaguchi, Yamagiwa, Inokuchi, licensee Bloomsbury Qatar Foundation Journals.
Loading

Article metrics loading...

/content/journals/10.5339/jemtac.2012.25
2013-06-01
2024-11-01
Loading full text...

Full text loading...

/deliver/fulltext/jemtac/2012/1/jemtac.2012.25.html?itemId=/content/journals/10.5339/jemtac.2012.25&mimeType=html&fmt=ahah

References

  1. Kasulke RJ, Clifford A, Nichols WK, Silver D. Isolated atherosclerotic aneurysms of the internal iliac arteries: report of two cases and review of the literature. Arch Surg. 1982 117:1:73–77
     [Google Scholar]
  2. Verta MJ, Janevicius RV. Isolated hypogastric artery aneurysms. J Cardiovasc Surg. 1982 23:5:432–434
     [Google Scholar]
  3. Boyarsky AH, Burks WP, Davidson TJ, Chandler JJ. Ruptured aneurysm of the internal iliac artery. South Med J. 1985 78:11:1356–1357
     [Google Scholar]
  4. Higgins PD, Johanson JF. Epidemiology of constipation in North America: a systematic review. Am J Gastroenterol. 2004 99:4:750–759
     [Google Scholar]
  5. Dix FP, Titi M, Al-Khaffaf H. The isolated internal iliac artery aneurysm—a review. Eur J Vasc Endovasc Surg. 2005 30:2:119–129
     [Google Scholar]
  6. Culp O, Bernatz PE. Urologic aspects of lesions in the abdominal aorta. Int J Urol. 1961 86::189–195
     [Google Scholar]
  7. Chapman EM, Shaw RS, Kubik CS. Sciatic pain from arteriosclerotic aneurysm of the pelvic arteries. N Engl J Med. 1964 271::1410–1411
     [Google Scholar]
  8. Waldman I, Braun A. Femoral neuropathy secondary to iliac artery aneurysms. South Med J. 1977 70:10:1243–1244
     [Google Scholar]
  9. Gilifillan I, Fell G, King B, French J. Unusual isolated iliac artery aneurysm. Br J Surg. 1986 73:5:375–376
     [Google Scholar]
  10. Patel NV, Long GW, Cheema ZF, Rimar K, Brown OW, Shanley CJ. Open vs. endovascular repair of isolated iliac artery aneurysms: a twelve-year experience. J Vasc Surg. 200921. Epub ahead of print
     [Google Scholar]
/content/journals/10.5339/jemtac.2012.25
Loading
Constipation following bilateral internal iliac artery aneurysms
Journal of Emergency Medicine, Trauma and Acute Care 2012, 25 (2012); https://doi.org/10.5339/jemtac.2012.25
/content/journals/10.5339/jemtac.2012.25
/content/journals/10.5339/jemtac.2012.25
Loading

Data & Media loading...

Keyword(s): aneurysm, Constipation, elderly and internal iliac artery

Most Cited Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error