EC Clinical and Medical Case Reports

Variant anatomy is a commonly reported incidental finding in radiology, with some anomalies holding more clinical relevance than others. Vascular anatomical variants must always be reported as they may be clinically relevant should the patient undergo an intervention in the future.

This case study depicts an incidental, extremely rare vascular anomaly, where the left common iliac artery takes an aberrant course posterior to the ipsilateral psoas muscle, and failing to divide into internal and external iliac arteries more distally.

Careful documentation and recording of this anomaly is crucial should the patient require any future lumbar spinal surgical interventions, vascular interventions or in case of renal transplantation.

 Keywords: Anatomy; Vascular; Computed Tomography (CT)

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