IntroductionA common iliac artery aneurysm is characterized by a localized enlargement of the artery that exceeds 1.5 cm in diameter (1). Acute appendicitis is the most prevalent abdominal surgical emergency, though its identification and treatment continue to be challenging for surgeons (2). The co-existence of these two medical conditions is highly uncommon and typically indicates a severe clinical situation, requiring timely diagnosis and appropriate intervention (3). In this report, we describe the successful management of a patient diagnosed with both appendicitis and a common iliac artery aneurysm simultaneously.