{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T01:50:26Z","timestamp":1792979426442,"version":"4.5.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T00:00:00Z","timestamp":1707350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Spontaneous iliac artery dissection (IAD) is a rare condition that is usually associated with connective tissue diseases. Complications include ischemia due to malperfusion and bleeding due to rupture. Treatments vary depending on the expertise and presenting symptoms; they include conservative, endovascular, and surgical options.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>Here, we present the case of a 45-year-old man who presented with right lower quadrant pain and hypertension as well as normal laboratory results. A contrast-enhanced computed tomography (CT) scan of the abdomen revealed an isolated dissection of the right external iliac artery. The patient had intact distal pulses and no other abnormal findings. He was admitted to the intensive care unit to control his high blood pressure with antihypertensive medications. The patient recovered well and was discharged home in stable condition with antiplatelet and antihypertensive therapy. The follow-up with the patient continued for one year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Given the rarity of this disease, the treatment protocols and outcomes are still a matter of ongoing debate. Complicated cases with rupture should be treated on an emergency basis using open and endovascular repairs. In asymptomatic and symptomatic patients without rupture, medical treatment and possibly endovascular treatments are considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Conservative management of uncomplicated asymptomatic IAD should be considered as first-line therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109378","type":"journal-article","created":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:47:05Z","timestamp":1707958025000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Spontaneous external iliac artery dissection treated conservatively: A case report and review of the management options"],"prefix":"10.1097","volume":"116","author":[{"given":"Mohammed Yousef","family":"Aldossary","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tariq","family":"Alanezi","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery, College of Medicine, King Saud University, 11322 Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Husain","family":"Al-Mubarak","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery, College of Medicine, King Saud University, 11322 Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sultan","family":"AlSheikh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-63-20260326","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1002\/path.1711080308","article-title":"Dissecting aneurysms of arteries other than the aorta","volume":"108","author":"Guthrie,","year":"1972","journal-title":"J. Pathol."},{"issue":"6","key":"R2-63-20260326","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1177\/1708538117710845","article-title":"Effectiveness of the conservative therapy for spontaneous isolated iliac artery dissection: preliminary results","volume":"25","author":"Liang,","year":"2017","journal-title":"Vascular"},{"key":"R3-63-20260326","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.ejvssr.2018.11.001","article-title":"Spontaneous isolated common iliac artery dissection treated with self-expandable stent in a 38-year-old patient: a case report","volume":"42","author":"Novotny,","year":"2018","journal-title":"EJVES Short Rep."},{"issue":"5","key":"R4-63-20260326","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int J Surg Lond Engl."},{"issue":"9","key":"R5-63-20260326","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1161\/CIRCULATIONAHA.121.056546","article-title":"Blood pressure, hypertension, and the risk of aortic dissection incidence and mortality: results from the J-SCH study, the UK biobank study, and a Meta-analysis of cohort studies","volume":"145","author":"Hibino,","year":"2022","journal-title":"Circulation"},{"issue":"11","key":"R6-63-20260326","doi-asserted-by":"crossref","first-page":"5431","DOI":"10.1210\/jc.2019-00980","article-title":"Angiogenic abnormalities in diabetes mellitus: mechanistic and clinical aspects","volume":"104","author":"Fadini,","year":"2019","journal-title":"J. Clin. Endocrinol. Metab."},{"issue":"596","key":"R7-63-20260326","first-page":"e11","article-title":"Spontaneous rupture of an isolated iliac artery dissection in a young man because of cystic medial degeneration Erdheim-Gsell","volume":"29","author":"Dueppers,","year":"2015","journal-title":"Ann. Vasc. Surg."},{"issue":"2","key":"R8-63-20260326","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/S0741-5214(95)70113-3","article-title":"Dissection of the external iliac artery in highly trained athletes","volume":"22","author":"Cook,","year":"1995","journal-title":"J. Vasc. Surg."},{"issue":"3","key":"R9-63-20260326","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1007\/BF02000263","article-title":"Fibromuscular disease of the external iliac artery","volume":"6","author":"Thevenet,","year":"1992","journal-title":"Ann. Vasc. Surg."},{"issue":"2","key":"R10-63-20260326","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.ejvsextra.2005.01.005","article-title":"Bilateral spontaneous and isolated dissection of the external iliac arteries: report of a case","volume":"9","author":"Engin,","year":"2005","journal-title":"EJVES Extra"},{"issue":"5","key":"R11-63-20260326","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1007\/BF02578455","article-title":"Iatrogenic arterial dissection: treatment by percutaneous transluminal angioplasty","volume":"14","author":"Murphy,","year":"1991","journal-title":"Cardiovasc. Intervent. Radiol."},{"issue":"5","key":"R12-63-20260326","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1007\/s00270-005-0087-z","article-title":"Isolated spontaneous dissection of the common iliac artery: percutaneous stent placement in two patients","volume":"29","author":"Kwak,","year":"2006","journal-title":"Cardiovasc. Intervent. Radiol."},{"issue":"1","key":"R13-63-20260326","article-title":"Endovascular treatment of spontaneous isolated common and external iliac artery dissections with preservation of pelvic blood flow","volume":"29","author":"Yoshida Rde,","year":"2015","journal-title":"Ann. Vasc. Surg."},{"issue":"3","key":"R14-63-20260326","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1053\/j.semvascsurg.2009.07.012","article-title":"Hypogastric artery preservation during endovascular aortic aneurysm repair: is it important?","volume":"22","author":"Lin,","year":"2009","journal-title":"Semin. Vasc. Surg."},{"issue":"1","key":"R15-63-20260326","doi-asserted-by":"crossref","first-page":"59","DOI":"10.2147\/vhrm.2008.04.01.59","article-title":"Current role of endovascular therapy in Marfan patients with previous aortic surgery","volume":"4","author":"Akin,","year":"2008","journal-title":"Vasc. Health Risk Manag."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224001597?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224001597?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.109378","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T16:01:45Z","timestamp":1774540905000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.109378"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":15,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.109378","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"2024-01-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}