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The elusive isolated hypogastric artery aneurysm: novel presentations

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1 The elusive isolated hypogastric artery aneurysm: novel presentations
William C. Krupski, MD a, Arie Bass, MD b, Garth D. Rosenberg, MD b, Ralph B. Dilley, MD b, Ronald J. Stoney, MD a  Journal of Vascular Surgery  Volume 10, Issue 5, Pages (November 1989) DOI: / (89) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

2 Fig. 1 Intravenous pyelogram shows displacement of the right ureter and bladder by a large right hypogastric artery aneurysm (case 1). The left ureter and collecting system are mildly obstructed at this time by a left hypogastric artery aneurysm; this ureteral compression increased greatly in the subsequent 6 months. Journal of Vascular Surgery  , DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

3 Fig. 2 CT scan of the patient in case 1 shows a poorly defined right retrovesical mass, which represents the leaking right hypogastric artery aneurysm (large arrow); the left hypogastric artery aneurysm is sharply delineated (small arrow). Journal of Vascular Surgery  , DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

4 Fig. 3 CT scan reveals a small left hypogastric artery aneurysm-indicated by arrow (case 2). Journal of Vascular Surgery  , DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

5 Fig. 4 Diagram of a lateral view of the relationship of the patient's hypogastric artery aneurysm and the obturator nerve (case 2). Journal of Vascular Surgery  , DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions


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