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Angioplasty for the treatment of buttock claudication caused by internal iliac artery stenoses

S C Kofoed1, J Bismuth, S Just

  • 1Department of Vascular Surgery, Gentofte University Hospital, 2900 Hellerup, Copenhagen, Denmark. stko@gentoftehosp.kbhamt.dk

Annals of Vascular Surgery
|June 21, 2001
PubMed

Insights

Buttock claudication from isolated internal iliac artery stenosis can be missed if relying solely on normal ankle pressure or pulses. Angioplasty successfully treated this rare vascular condition.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Buttock claudication is a symptom of peripheral artery disease.
  • Internal iliac artery stenosis is an uncommon cause of lower limb ischemia.

Observation:

  • A patient presented with buttock claudication.
  • Ankle systolic pressure and distal pulses were normal.
  • Angiography revealed severe isolated internal iliac artery stenoses.

Findings:

  • Normal non-invasive vascular tests can mask significant internal iliac artery stenosis.
  • Computed tomography ruled out spinal stenosis as a cause.

Implications:

  • Clinicians should consider internal iliac artery stenosis in cases of unexplained buttock claudication, even with normal distal pulses.
  • Angioplasty is an effective treatment for this condition.

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