Ruptured aneurysm of the left common iliac artery

Discussion:

This case demonstrates typical appearances of massive retroperitoneal hemorrhage from an uncommon cause: an isolated common iliac artery aneurysm - most patients would also have an abdominal aortic aneurysm. 

The patient underwent emergent surgical intervention with the successful replacement of the iliac artery and eventual recovery. Most patients with ruptured aneurysms would not be so lucky. 

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