Collateral miracle-reformation of iliac and femoral arteries by collaterals from bilateral subclavian arteries following contained rupture of abdominal aortic aneurysm in a hypertensive female

Rupture of an abdominal aortic aneurysm is readily diagnosed when the triad of abdominal or back pain, shock and a pulsatile abdominal mass are present. However in a few cases, a chronic contained ruptured abdominal aortic aneurysm can present in a multitude of manners rather than as life threatening haemorrhage. In our case we are reporting a 41 year old hypertensive female who developed claudication pain in both her lower limbs. Imaging later revealed that she had a contained ruptured abdominal aortic aneurysm, a thing she was previously unaware of, with collaterals from the bilateral subclavian arteries supplying her femorals. (C) 2018 The Authors. Production and hosting by Elsevier B.V. on behalf of King Saud University.