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Pathology Update 2025

009 - A case of iliac artery endofibrosis

Roche Scientific E Poster Display

Roche Scientific E-Poster Display

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Anatomical Pathology

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Abstracts/Presentation Description

Leo Burnside1, Sanjay Sinha1
1. Waikato Hospital 

Iliac artery endofibriosis is a rare, benign condition observed usually in competitive cyclists, presenting with symptoms of lower limb ischaemia. Psoas muscle hypertrophy in these athletes is thought to irritate the external iliac artery where they cross, resulting in intimal thickening of the artery and subsequently narrowing the artery. This condition is often identified only using imaging techniques, and managed conservatively. 

Histological sections of this condition are exceptionally rare, and to our knowledge the only case in our laboratory. 

We present a case of an athlete, along with their imaging and finally the histology. 

References:
  1. Anatomic Factors Contributing to External Iliac Artery Endofibrosis in High-Performance Athletes  Fisher, Andrea T. et al. Annals of Vascular Surgery, Volume 87, 181 - 187

Speaker/Presenting Authors

Authors

Submitting/Presenting Authors

Dr Leo Burnside MBChB - Waikato Hospital (New Zealand ) , Dr Sanjay Sinha -

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