The patient was referred to a vascular surgeon following detection of a right common iliac artery aneurysm on an abdominal ultrasound at a radiology practice. A scan of the abdominal and pelvic arteries was requested for conformation. The clinical work-up noted smoking and a pulsatile mass in the right iliac fossa.
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The presence of a right common iliac artery aneurysm was confirmed. Further examination reveal an infrarenal AAA, left common iliac artery aneurysm and bilateral popliteal artery aneurysms. There were also bilateral 50-75% stenoses of the proximal internal iliac arteries.