Treatment outcomes of symptomatic internal iliac artery aneurysms

Isolated internal iliac artery aneurysm (IIIAA) is a rare condition, with limited information available about its symptoms and surgical treatment outcomes, particularly in Ghana. This case report presents the 4-year surgical treatment outcomes of three patients (aged 42, 58, and 22 years) with IIIAA, each exhibiting different clinical presentations. All patients experienced pelvic pain and difficulty walking but had uneventful post-operative recoveries. They made significant progress with physiotherapy and were able to mobilise with a Zimmer frame before discharge. Currently, all three patients are mobilising unaided, and post-operative Computed Tomography (CT) scans show no complications. This report highlights the importance of early diagnosis to minimise complications and improve the prognosis for IIIAA, which often presents asymptomatically and can manifest with a wide range of clinical findings. The study underscores the effectiveness of open surgical repair in achieving positive outcomes for IIIAA patients in Ghana.