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Angiology
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Recurrent Giant Hypogastric Artery Aneurysms — A Case Report

Richard L. Golden

School of Medicine, the State University of New York (SUNY) at Stony Brook, Huntington Hospital, Huntington, New York, Veterans Administration Hospital, Northport, New York

Judah Bauman

School of Medicine, the State University of New York (SUNY) at Stony Brook, Huntington Hospital, Huntington, New York, Veterans Administration Hospital, Northport, New York

Margaret Johnstone

School of Medicine, the State University of New York (SUNY) at Stony Brook, Huntington Hospital, Huntington, New York, Veterans Administration Hospital, Northport, New York

Frank Pindyck

School of Medicine, the State University of New York (SUNY) at Stony Brook, Huntington Hospital, Huntington, New York, Veterans Administration Hospital, Northport, New York

Aneurysms of the hypogastric artery are rare occurrences that are frequently asymptomatic until the time of rupture. When signs and symptoms are present, a pulsatile pelvic mass, frequently detected by rectal or vaginal examination, may produce compression symptoms with urologic, gastrointestinal, and neurologic manifestations. In addition to classical invasive methods of detection such as angiography, newer noninvasive imaging techniques, including ultrasonography, computerized tomography, and magnetic resonance imaging, may be employed to establish the diagnosis. Proximal ligation of the hypogastric artery is the usual method of treatment. A case of bilateral, giant hypogastric artery aneurysms with successful surgical management is reported.

Angiology, Vol. 39, No. 7, 620-624 (1988)
DOI: 10.1177/000331978803900710
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