Internal iliac artery aneurysms are rare. In most instances, they do not cause symptoms unless they rupture. Mortality after rupture is about 50%. Aneurysm under 25-30mm in size can be watched with serial imaging - typically CT. Aneurysms > 25-30mm should be treated to avoid rupture. Endovascular repair is preferred to open surgery as it is safer, faster and effective.
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.
65 year old cyclist with extensive superficial and deep venous incompetence and venous ulceration