Simultaneous Rupture of Bilateral Iliac Artery Aneurysm in a Patient with Obstructive Colon Carcinoma

Abstract A case of a 79-year-old patient is presented with simultaneous bilateral rupture of iliac artery aneurysms and an obstructive carcinoma of the left colon. Open surgical repair was performed with placement of a bifurcated aortobi-iliac graft followed by tight closure of the retroperitoneum and subsequent left hemicolectomy with exteriorization of both colon ends. The patient was discharged from hospital with no signs of graft infection during a 4-year follow-up period. Rupture of iliac artery aneurysm can occur concomitantly with bowel obstruction. Open synchronous repair of both life-threatening conditions is feasible requiring meticulous surgical technique for avoiding graft contamination.