Van Rensburg, Dina C.J.Van Rensburg, Audrey J.Van Duuren, Elsa MargarethaGrant, C.C. (Catharina Cornelia)2015-11-262014Van Rensburg, DCJ, Van Rensburg, AJ, Van Duuren, EM & Grant, CC 2014, 'Iliac artery endofibrosis in a middle-aged female long-distance runner', American Journal of Physical Medicine and Rehabilitation, vol. 93, no. 12, pp. 1100-1103.0894-9115 (print)1537-7385 (online)10.1097/PHM.0000000000000175http://hdl.handle.net/2263/50930Exercise-induced iliac artery endofibrosis is a recently described abnormality of the external iliac artery that typically affects younger, healthy endurance athletes. Characteristic of the initially termed cyclist’s iliac syndrome is lower limb pain during exercise with rapid recovery after exercise. This clinically complicated case describes an older female long-distance runner in whom an incorrect diagnosis of fibromuscular dysplasia was originally made when she presented with claudication and thrombosis of the right external iliac artery. A thrombectomy and bilateral balloon angioplasty were performed; however, her symptoms persisted. Four months later, she unexpectedly complained of dual calf claudication, a diagnosis of exercise-induced iliac artery endofibrosis was made, and a bilateral prosthetic graft bypass procedure was performed, which resulted in a good outcome.en© 2014 Wolters Kluwer Health / Lippincott Williams & Wilkins. This is a non-final version of an article published in final form in American Journal of Physical Medicine and Rehabilitation, vol. 93, no, 12, pp. 1100-1103, 2014. doi : 10.1097/PHM.0000000000000175.Arterial endofibrosisExternal iliac arteryEndurance athleteExercise-inducedVascular stenosisPostprint Article