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Frequent Urination Caused by a Giant Iliac Artery Aneurysm

Haruhiko Higashi, MD; Makoto Saito, MD; Jun Aono, MD; Toyofumi Yoshii, MD; Akiyoshi Ogimoto, MD; Jitsuo Higaki, MD
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Copyright 2013, American College of Cardiology Foundation. All Rights Reserved.

J Am Coll Cardiol. 2013;61(10):e151-e151. doi:10.1016/j.jacc.2012.08.1037
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An 82-year-old woman with a 10-year history of hypertension presented with a 2-month history of frequent urination. Physical examination revealed a pulsatile mass in the lower abdomen. A 3-dimensional computed tomography reconstruction showed a giant (9 cm) aneurysm in the left common iliac artery, with a 4.5-cm abdominal artery aneurysm (A, Online Video 1). The shape and location of the aneurysm resembled a full bladder, and the true bladder was pushed away and made smaller by the aneurysm (B). Therefore, we believed that the aneurysm was the cause of frequent urination. The patient underwent Y-graft surgery and had a good postoperative recovery. Her symptom of frequent urination disappeared. A giant common iliac artery aneurysm is a rare but assignable cause of frequent urination.

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