Qom University of Medical Sciences Journal

Arterial aneurysm is defined as a dilatation that exceeds 1.5 times the normal diameter. Abdominal aortic aneurysm (AAA) frequently involves infra-renal arteries. The common iliac and internal iliac vessels may also be involved. This disease usually involves males with a familial and sex-linked pattern. In this article, a case of abdominal aortic aneurysm (AAA) along with bilateral iliac arteries aneurysm and right ectopic kidney is reported.

Case

The patient was a 71-year-old man, smoker, who suffered from vague abdominal pains for 3 months without any changes in bowel habits or other symptoms. The pain was localized in mid-abdomen and upper abdomen, radiating to the back, and aggravating by physical exercise, but it would not change with feeding or position. In past medical history, hypertension was noticed for which the patient was on antihypertensive medications. Physical examination revealed a pulsating palpable mass in mid-abdomen. CT scanning showed dilation of abdominal aorta below the renal arteries, as well as bilateral iliac artery aneurysms. The right kidney was ectopically located in right pelvis and other abdominal organs were found normal.