The common iliac arteries provide the primary blood supply to the lower limbs. An iliac aneurysm is a bulging and weakness in the wall of the iliac artery. Causes of iliac aneurysms include atherosclerosis (a disease of the arteries characterized by the deposit of cholesterol-containing fatty deposits on the inner walls which hardens the blood vessels), infections, and trauma for hip or lower back surgery. Risk factors for iliac aneurysm include genetics, male gender, smoking, high blood pressure and poor cholesterol. This aneurysm is usually asymptomatic (does not cause symptoms), but can cause back, lower abdominal, and/or groin pain. Treatment depends on the size of the aneurysm, individual age, health, and other medical conditions.