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KMID : 0385920110220040367
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Journal of the Korean Society of Emergency Medicine
2011 Volume.22 No. 4 p.367 ~ p.369
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A Case of Internal Iliac Artery Aneurysm as a Fatal Cause Resulting in Acute Urinary Retention
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Kong Du-Kyung
Kim Hye-Jin
Kang Tae-Kyung
Oh Sung-Chan
Cho Suk-Jin
Lee Sang-Lae
Ryu Seok-Yong
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Abstract
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Internal iliac artery aneurysm (IIAA) is a type of abdominal aneurysm that is a rare cause of lower urinary tract symptoms because of its anatomic location. If diagnosed after rupture, it can be lethal and surgery is mandatory. A 57-year-old male presented with acute urinary retention and syncope. An intra-abdominal mass initially thought to be an aneurysm was apparent by ultrasound. A computed tomography scan of the abdomen confirmed an internal iliac artery aneurysm accompanied by rupture. The patient was discharged without any complications within 20 days after receiving a vascular graft and resection of the aneurysm.
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KEYWORD
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Iliac aneurysm, Urinary retention
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