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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 11, 1524-1526.
doi: 10.1302/0301-620X.88B11.17745  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Aneurysm of the common iliac artery presenting as a lumbosacral plexopathy

M. D. Gardiner, MA, MRCS, Senior House Officer in Plastic Surgery and Burns1; J. Mangwani, MS(Orth), MRCS, SpR in Orthopaedic Surgery2; and W. W. Williams, FRCS, Consultant in Trauma and Orthopaedic Surgery3

1 St. Andrews Centre for Plastic Surgery and Burns
2 Department of Trauma and Orthopaedic Surgery, Colchester General Hospital, Colchester CO4 5JL, UK.
3 Department of Trauma and Orthopaedic Surgery, Broomfield Hospital, Chelmsford CM1 7ET, UK.

Correspondence should be sent to Mr M. D. Gardiner; e-mail: mdgardiner{at}gmail.com

We describe a case of lumbosacral plexopathy caused by an isolated aneurysm of the common iliac artery. The patient presented with worsening low back pain, progressive numbness and weakness of the right leg in the L2-L4 distribution. This had previously been diagnosed as sciatica. A CT scan showed an aneurysm of the right common iliac artery which measured 8 cm in diameter. Despite being listed for emergency endovascular stenting, the aneurysm ruptured and the patient died.

It is important to distinguish a lumbosacral plexopathy from sciatica and to bear in mind its treatable causes which include aneurysms of the common and internal iliac arteries.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General