“…Most of the IIAAs are diagnosed in association with other intra-abdominal aneurysms [ 8 ]. Institutional data reveal that IIAAs are present in 10.2% of patients with aortoiliac aneurysms [ 1 ]. Most common etiologic factor for developing IIAA is a degenerative process of the vascular wall mainly associated with arteriosclerosis, while other conditions, such as infection, trauma, connective tissue and arterial wall disorders, and rarely traumatic childbirth, high forceps deliveries, or Caesarian section, have been implicated in the pathogenesis [ 2 , 3 , 6–8 ].…”