Abstract:
Complications of herniorrhaphy are many but
aneurysm of the artery whether iliac or femoral is
very rare.it is still possible due to the repair of the
posterior wall or any other iatrogenic condition.
Unlike an aneurysm due to arteriosclerosis, the
high rate of injection complicates the therapy so
that normally an extra-anatomic bypass is indicated
. In the absence of a bypass. adequate collaterals
could be a substitute until the septic wound
heals completely. This is shown in the changes of
the- ankle pressure indices and the claudication
distance which increases gradually after closure of
the femoral artery. indicating the change in its
haemodynamics. Definitive treatment can therefore
be delayed for a period of at least one year in
a young man till the wound heating is complete as
there is a chance of collateral formation.
It is known that haemorrhage. infection and recurrence
are among the common complications of an
inguinal hernia repair. Aneurysm of the iliac
artery is to be expected. following trauma to the
artery. Such a false aneurysm could originate from
Posterior wall repair and can later be mistaken for
a haematoma. Traumatic aneurysm of the iliac
artery has not been reported in Ghana. This paper
reports of an aneurysm of the right external iliac
artery which was detected 4 months after a right-sided
herniorrhaphy.