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CT scan showing large left common iliac artery aneurysm compressing the distended bladder. Bladder is full with blood clots. Aneurysm (A), Bladder (B).
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Computed tomography (CT scan) was done and showed large left common iliac artery aneurysm compressing the distended urinary bladder as shown in Fig. 1.
Endovascular graft stent is in situ in the left common iliac artery (arrow).
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We consulted the vascular surgery team and their decision was to proceed with Endovascular graft repair (EVAR) as seen in Fig. 2.
Endoleak 8 months after EVAR procedure showing the endovascular stent (A). Aneurysm sac is large which is at risk for rupture (B).
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However, type II Endoleak complication happened 8 months later (Fig. 3) that was managed successfully by single-vessel embolization of the feeding artery.
Follow-up CT angiography showing no leak.
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Vascular surgeons recommended yearly follow-up by triphasic CT angiography (as shown in Fig. 4) to detect any complication that could happen post EVAR.