Pseudoaneurismas de la arteria glútea superior. A propósito de un caso y revisión de la bibliografía

Abstract

Summary Introduction Gluteal aneurysm, whether true or false, are rare and mostly are caused by pelvic fractures or penetrating injuries. Case report We report a case of a 66-year-old-man who suffereda penetrating wound to the left buttock. Wound was sutured in his regional hospital. On post operative, the patient experienced left sciatic pain and paresis, and the electro physiologic studies revealed compression of the sciatic nerve. Four weeks later the pain continued, and the nuclear magnetic resonance examination revealed apseudoaneurysm of the left internaliliac artery. The patient was admitted in our Vascular Service, the physical examination revealed a pulsatile mass over the left buttock. The duplex ultrasonography, and selective angiography demonstrateda superior gluteal artery pseudoaneurysm. The gluteal pseudoaneurysm was successfully treated by selective embolization, and the patient was free of neurologic symptoms. The presentation and management of patients with gluteal aneurysm are discussed, and the literature reviewed.