Abstract

SUMMARYOur case and others reported in the literature illustrate that isolated aneurysms of the internal iliac artery are uncommon lesions with a highly lethal potential. The classic signs of ruptured abdominal aneurysm—pain, palpable mass, and shock—are usually altered with rupture of these aneurysms because of their deep location in the pelvis.3 Rectal examination will aid diagnosis. Surgical management of IIA aneurysms 4 cm or larger is indicated at the time of diagnosis, since rupture is usually fatal.