Introduction: Vascular Ehlers Danlos syndrome is a rare connective tissue disease that is associated with various arterial complications.

Report: A 25 year old man with vascular Ehlers Danlos syndrome presented with acute lower back pain as a result of a ruptured aneurysm of the median sacral artery (MSA). Prior medical history included several vascular events resulting in a right iliac occlusion. The unusual location of aneurysmal disease of the MSA might be explained by extensive collateral flow recruitment due to this occlusion.

Conclusion: Previous vascular events inducing collateral recruitment might justify a more frequent follow up in patients with connective tissue disorders.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320209PMC
http://dx.doi.org/10.1016/j.ejvssr.2019.12.002DOI Listing

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