Inferior epigastric artery false aneurysms: review of the literature and case report.

Department of Vascular Surgery, Demokritos University Hospital, Alexandroupolis, Greece.
European Journal of Vascular and Endovascular Surgery (Impact Factor: 2.82). 03/2007; 33(2):182-6. DOI: 10.1016/j.ejvs.2006.08.006
Source: PubMed

ABSTRACT A case report is presented of a IEA false aneurysm successfully embolized in a 50-year old man following a blunt abdominal injury. A literature review revealed another 15 cases. Most cases were iatrogenic (13/16) complicating abdominal wall procedures. Treatment options included open surgery (8 cases), percutaneous coil embolization (6), ultrasound guided thrombin injection or ultrasound guided compression (2). The selected treatment (surgical or non-surgical) was not affected by the size of the aneurysm (p=0.6) and was successful in all patients. However two of the non-surgically removed lesions (25%) remained unchanged in size for a long time causing discomfort. IEA false aneurysms represent an uncommon entity. Open surgery for IEA false aneurysms is easy and cheap. Endovascular approaches can lead to a long delay in resolution of the problem.