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Physicians call this aortoiliac occlusive disease because it involves the aortoiliac arteries. When your iliac arteries narrow or become blocked, your legs may not receive the blood and oxygen they need. This lack of oxygen is called ischemia and it can cause pain.
An iliac aneurysm is bulging and weakness in the wall of one of the iliac arteries. The common iliac arteries branch off the abdominal aorta in the pelvic area.