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Rupture of the Common Iliac Artery Following Anal Sex

Abstract We describe the case of a young man admitted with acute onset of pain and defense in the left iliac fossa a few hours after rectal introduction of a dildo. At laparotomy a retroperitoneal haematoma was found along with a dissection of the left common iliac artery. No rectal perforation was identified. Aorto-iliac prosthetic bypass was necessary for repair.