An idiopathic left internal iliac artery aneurysm in an 11-year-old boy: a case report

Abstract Background Idiopathic isolated aneurysms in pediatric patients are rare and present significant diagnostic and therapeutic challenges owing to their low incidence, small anatomical size, and the associated risks of injury to surrounding structures. Timely diagnosis and the selection of the...

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Main Authors: Meghdad Ghasemi Gorji, Amirhossein Baratinezhad, Rojan Abdollahzadeh Mirali
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-025-05050-3
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author Meghdad Ghasemi Gorji
Amirhossein Baratinezhad
Rojan Abdollahzadeh Mirali
author_facet Meghdad Ghasemi Gorji
Amirhossein Baratinezhad
Rojan Abdollahzadeh Mirali
author_sort Meghdad Ghasemi Gorji
collection DOAJ
description Abstract Background Idiopathic isolated aneurysms in pediatric patients are rare and present significant diagnostic and therapeutic challenges owing to their low incidence, small anatomical size, and the associated risks of injury to surrounding structures. Timely diagnosis and the selection of the most appropriate intervention require careful consideration. Case presentation An 11-year-old Persian boy presenting with abdominal pain for 2 months before admission was diagnosed with an isolated left internal iliac artery aneurysm through computed tomography imaging. He underwent open surgery for excision of the aneurysm. The iliac vein was adherent to the aneurysmal sac and significantly compressed, complicating the dissection and exploration. Nevertheless, proximal control was achieved, and the iliac vein was gradually separated and decompressed, allowing for the safe excision of the aneurysmal sac. The surgery was completed without intraoperative or postoperative complications. Conclusion Successful surgical intervention in pediatric patients with iliac artery aneurysms is achievable with careful planning and technique. This case report demonstrates the effectiveness of surgical management, with the patient remaining asymptomatic and showing no signs of recurrence during follow-up.
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spelling doaj-art-0339fe22a380432c8c932f87d7df6e732025-02-09T12:38:31ZengBMCJournal of Medical Case Reports1752-19472025-02-011911410.1186/s13256-025-05050-3An idiopathic left internal iliac artery aneurysm in an 11-year-old boy: a case reportMeghdad Ghasemi Gorji0Amirhossein Baratinezhad1Rojan Abdollahzadeh Mirali2Department of Vascular Surgery, Shiraz University of Medical ScienceStudent Research Committee, Shiraz University of Medical SciencesStudent Research Committee, Shiraz University of Medical SciencesAbstract Background Idiopathic isolated aneurysms in pediatric patients are rare and present significant diagnostic and therapeutic challenges owing to their low incidence, small anatomical size, and the associated risks of injury to surrounding structures. Timely diagnosis and the selection of the most appropriate intervention require careful consideration. Case presentation An 11-year-old Persian boy presenting with abdominal pain for 2 months before admission was diagnosed with an isolated left internal iliac artery aneurysm through computed tomography imaging. He underwent open surgery for excision of the aneurysm. The iliac vein was adherent to the aneurysmal sac and significantly compressed, complicating the dissection and exploration. Nevertheless, proximal control was achieved, and the iliac vein was gradually separated and decompressed, allowing for the safe excision of the aneurysmal sac. The surgery was completed without intraoperative or postoperative complications. Conclusion Successful surgical intervention in pediatric patients with iliac artery aneurysms is achievable with careful planning and technique. This case report demonstrates the effectiveness of surgical management, with the patient remaining asymptomatic and showing no signs of recurrence during follow-up.https://doi.org/10.1186/s13256-025-05050-3Idiopathic aneurysmPediatric aneurysmIliac artery aneurysmVascular surgeryCase report
spellingShingle Meghdad Ghasemi Gorji
Amirhossein Baratinezhad
Rojan Abdollahzadeh Mirali
An idiopathic left internal iliac artery aneurysm in an 11-year-old boy: a case report
Journal of Medical Case Reports
Idiopathic aneurysm
Pediatric aneurysm
Iliac artery aneurysm
Vascular surgery
Case report
title An idiopathic left internal iliac artery aneurysm in an 11-year-old boy: a case report
title_full An idiopathic left internal iliac artery aneurysm in an 11-year-old boy: a case report
title_fullStr An idiopathic left internal iliac artery aneurysm in an 11-year-old boy: a case report
title_full_unstemmed An idiopathic left internal iliac artery aneurysm in an 11-year-old boy: a case report
title_short An idiopathic left internal iliac artery aneurysm in an 11-year-old boy: a case report
title_sort idiopathic left internal iliac artery aneurysm in an 11 year old boy a case report
topic Idiopathic aneurysm
Pediatric aneurysm
Iliac artery aneurysm
Vascular surgery
Case report
url https://doi.org/10.1186/s13256-025-05050-3
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