Aneurysm of the common iliac artery presenting as a lumbosacral plexopathy-Reference-Cited by-同舟云学术

Aneurysm of the common iliac artery presenting as a lumbosacral plexopathy

Published:2006-11 Issue:11 Volume:88-B Page:1524-1526
ISSN:0301-620X
Container-title:The Journal of Bone and Joint Surgery. British volume
language:en
Short-container-title:The Journal of Bone and Joint Surgery. British volume

Author:

Gardiner M. D.¹,Mangwani J.²,Williams W. W.³

Affiliation:

1. St. Andrews Centre for Plastic Surgery and Burns

2. Department of Trauma and Orthopaedic Surgery, Colchester General Hospital, Colchester CO4 5JL, UK.

3. Department of Trauma and Orthopaedic Surgery, Broomfield Hospital, Chelmsford CM1 7ET, UK.

Abstract

We describe a case of lumbosacral plexopathy caused by an isolated aneurysm of the common iliac artery. The patient presented with worsening low back pain, progressive numbness and weakness of the right leg in the L2-L4 distribution. This had previously been diagnosed as sciatica. A CT scan showed an aneurysm of the right common iliac artery which measured 8 cm in diameter. Despite being listed for emergency endovascular stenting, the aneurysm ruptured and the patient died. It is important to distinguish a lumbosacral plexopathy from sciatica and to bear in mind its treatable causes which include aneurysms of the common and internal iliac arteries.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

Link

https://online.boneandjoint.org.uk/doi/pdf/10.1302/0301-620X.88B11.17745

Reference19 articles.

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3. Giraldi C, Merlini V, Mosca F, Ferrari M. Compression of the lumbosacral plexus in a case of voluminous aneurysm of the common iliac artery. Rev Neurol 1984;54:399–404 (in Italian).

4. Delgado-Garcia F, Lopez-Dominguez JM, Casado-Chocan JL, et al. Lumbosacral plexopathy as a form of presentation of an aneurysm of the iliac artery. Rev Neurol 1999;28:1072–4 (in Spanish).

5. al Asadi AD, le Fur R, al Amri A. Motor deficit complicating an isolated aneurysm of the internal iliac artery. J Chir (Paris) 1995;132:361–3 (in French).

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