This case study presents the gross anatomical findings encountered during the prosection of two anatomical donors, both with an abdominal aortic aneurysm (AAA) that were documented in their medical histories. Clots extended inferiorly through the aortic bifurcation and into the common iliac arteries. The severity and locations of the AAAs and the atherosclerosis of the iliac arteries in the donors are suggestive of Leriche syndrome. Additional findings on one donor, including ovarian cysts and the congestion of the left ovarian vein, are suggestive of pelvic congestion syndrome. The aim of this case study was to present the gross anatomical findings of AAAs and investigate the probable linkage between AAAs, Leriche syndrome, and pelvic congestion syndrome.