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.
62 year old female suffering for 30 years with pelvic venous congestion
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.