Revascularized internal iliac artery aneurysm presenting as a painful pulsatile scrotal mass after aortobifemoral bypass surgery.

Pulsatile scrotal masses are extremely rare. We report the first case of pulsatile and painful scrotal mass that had an arterial collateral circulation, equivalent to an arterioarterial shunt, feeding an excluded internal iliac artery aneurysm after aortobifemoral bypass surgery.