Pseudoaneurysm of the superior gluteal artery following polytrauma
Case Report
First Online:
Received:
Revised:
Accepted:
- 129 Downloads
- 7 Citations
Abstract
Gluteal artery aneurysms are rare and often secondary to pelvic fractures, blunt or penetrating trauma. We describe a case of a superior gluteal artery pseudoaneurysm that presented as back pain with numbness and weakness of the lower extremities. Diagnosis was confirmed by color Doppler sonography and angiography. A proximal and distal control was obtained over the aneurysm neck via coil embolization with excellent hemostasis within the pseudoaneurysm and maintenance of perfusion to the left pelvis.
Keywords
Pseudoaneurysm Trauma Angiography CT Embolization PitfallReferences
- 1.Matas R. Surgery of the vascular system. In: Keen WW, Da Costa JD, eds. Surgery, vol 5. Philadelphia: Saunders; 1920. p. 17.Google Scholar
- 2.Smyth NP, Rizzoli HV, Ordman CW, Khoury JN, Chiocca JC. Gluteal aneurysm. Arch Surg 1965;91: 1014–1020.PubMedGoogle Scholar
- 3.Yurtseven T, Zileli M, Goker EN, Tavmergen E, Hoscoskun C, Parildar M. Gluteal artery pseudoaneurysm, a rare cause of sciatic pain: case report and literature review. J Spinal Disord Tech 2002;15: 330–333.PubMedGoogle Scholar
- 4.Kuzuya A, Fujimoto K, Iyomasa S, Matsuda M. Transluminal coil embolization of an inferior gluteal artery aneurysm by ultrasound-guided direct puncture of the target vessel. Eur J Vasc Endovasc Surg 2005;30: 130–132.PubMedCrossRefGoogle Scholar
- 5.Schindera ST, Anderson SE, Triller J. Coil embolization of an infected superior gluteal artery pseudoaneurysm caused by methicillin-resistant staphylococcus aureus. Vasa 2005;34: 62–65.PubMedCrossRefGoogle Scholar
- 6.Blin V, Picquet J, Jousset Y, Papon X, Enon B. Aneurysm of the superior gluteal artery. J Mal Vasc 2004;29: 213–215.PubMedGoogle Scholar
- 7.Dongola NA, Giles JA, Guy RL. Embolisation of a post-traumatic superior gluteal artery aneurysm: case report. East Afr Med J 2004;81: 433–435.PubMedGoogle Scholar
- 8.Agarwal M, Giannoudis PV, Syed AA, Hinsche AF, Matthews SJ, Smith RM. Pseudoaneurysm of the inferior gluteal artery following polytrauma: diverse presentation of a dangerous complication: a report of two cases. J Orthop Trauma 2003;17: 70–74.PubMedCrossRefGoogle Scholar
- 9.Schorn B, Reitmeier F, Falk V, Oestmann JW, Dalichau H, Mohr FW. True aneurysm of the superior gluteal artery: case report and review of the literature. J Vasc Surg 1995;21: 851–854.PubMedCrossRefGoogle Scholar
- 10.Bakker KW, Gast LF. Retroperitoneal haemorrhage from the superior gluteal artery: a late complication of total hip arthroplasty. Clin Rheumatol 1990;9: 249–253.PubMedCrossRefGoogle Scholar
- 11.Catinella FP, De Laria GA, De Wald RL. False aneurysm of the superior gluteal artery. A complication of iliac crest bone grafting. Spine 1990;15: 1360–1362.PubMedCrossRefGoogle Scholar
- 12.Papadopoulos SM, McGillicuddy JE, Messina LM. Pseudoaneurysm of the inferior gluteal artery presenting as sciatic nerve compression. Neurosurgery 1989;24: 926–928.PubMedCrossRefGoogle Scholar
- 13.Rankin RN, Youngson GG, McKenzie FN. Management of superior gluteal artery aneurysm by percutaneous balloon catheter occlusion: a case report. Surgery 1979;85: 235–237.PubMedGoogle Scholar
- 14.Smith RB. Spontaneous rupture of a superior gluteal artery aneurysm. Injury 1981;12: 343–345.PubMedCrossRefGoogle Scholar
- 15.Smith K, Ben-Menachem Y, Duke JH Jr, Hill GL. The superior gluteal: an artery at risk in blunt pelvic trauma. J Trauma 1976;16: 273–279.PubMedCrossRefGoogle Scholar
- 16.Mikulin T, Walker EW. False aneurysm following blunt trauma. Injury 1984;15: 309–310.PubMedCrossRefGoogle Scholar
- 17.Proschek R, Fowles JV, Bruneau L. A case of post-traumatic false aneurysm of the superior gluteal artery with compression of the sciatic nerve. Can J Surg 1983;26: 554–555.PubMedGoogle Scholar
- 18.Williams W Jr, Jackson GF Jr, Greene C. Superior gluteal artery aneurysm. J Trauma 1977;17: 477–479.PubMedCrossRefGoogle Scholar
- 19.Goktay AY, Secil M, Dicle O, Pirnar T. Color doppler sonography in the follow-up of giant gluteal aneurysm embolization. Comput Med Imaging Graph 2001;25: 353–356.PubMedCrossRefGoogle Scholar
- 20.Herber SC, Ajalat GM, Smith DC, Hinshaw DB Jr, Killeen JD Jr. Transcatheter embolization facilitating surgical management of a giant inferior gluteal artery pseudoaneurysm. J Vasc Surg 1988;8: 716–720.PubMedCrossRefGoogle Scholar
- 21.Stock JR, Harris WH, Athanasoulis CA. The role of diagnostic and therapeutic angiography in trauma to the pelvis. Clin Orthop Relat Res 1980;151: 31–40.PubMedGoogle Scholar
- 22.Tomczak R, Gorich J, Pamler R, Brambs HJ. Ischemia of the lower extremity due to a persistent a. ischiadica—a possible interventional therapeutic approach. Radiologe 2000;40: 745–747.PubMedCrossRefGoogle Scholar
- 23.Zirinsky K, Markisz JA, Auh YH, Rubenstein WA, Rozenblit G, Kazam E. Computed tomography and magnetic resonance imaging of a superior gluteal artery pseudoaneurysm. J Comput Tomogr 1988;12: 75–78.PubMedCrossRefGoogle Scholar
- 24.Battle W. A case of traumatic gluteal aneurysm. Br Med J 1898;2: 1415.CrossRefGoogle Scholar
- 25.McMillan WD, Smith ND, Nemcek A Jr, Pearce WH. Transcatheter embolization of a ruptured superior gluteal artery aneurysm: case report and review of the literature. J Endovasc Surg 1997;4: 376–379.PubMedCrossRefGoogle Scholar
- 26.Vasseur MA, Doisy VC, Prat AG, Stankowiak C. Coil embolization of a gluteal false aneurysm in a patient with Marfan syndrome. J Vasc Surg 1998;27: 177–179.PubMedCrossRefGoogle Scholar
Copyright information
© ISS 2007