Summary Spontaneous dissection of the main iliac artery is a rare condition with obvious treatment modalities. A 25-year-old male patient presented with exercise induced left leg pain. Magnetic resonance angiography demonstrated a spontaneous left main iliac artery dissection. The patient is followed-up conservatively for 4 months with anticoagulant therapy and exercise limitation. (Turkish J Vasc Surg 2003;12(2): 29-31) Key Words: Spontaneous dissection, common iliac artery, athletic injuries, anticoagulant therapy
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