Internal iliac artery aneurysms are rare. In most instances, they do not cause symptoms unless they rupture. Mortality after rupture is about 50%. Aneurysm under 25-30mm in size can be watched with serial imaging - typically CT. Aneurysms > 25-30mm should be treated to avoid rupture. Endovascular repair is preferred to open surgery as it is safer, faster and effective.
51 year old female with a long history of low back pain, pelvic aching and heaviness, urinary frequency and painful intercourse.
104 year old female with worsening left foot rest pain
64 year old female with severe short distance claudication limiting the patients ability to work