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[Iliac vessels malformations as a cause of gluteal varices]

Piotr Rudnicki1, Ireneusz Mazur, Krystyn Sosada

  • 1Katedry i Oddziału Klinicznego Chirurgii Ogólnej, Bariatrycznej i Medycyny Ratunkowej w Zabrzu. piotr.rudnicki2@wp.pl

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|January 8, 2008
PubMed

Insights

Gluteal varices, rare vascular malformations, can stem from pelvic vessel issues. This case highlights an unusual instance of acquired gluteal varices linked to an internal iliac artery-vein fistula.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Vascular Malformations

Background:

  • Gluteal varices are uncommon vascular anomalies, typically congenital, affecting pelvic vessels.
  • Their rarity and diagnostic challenges necessitate case study presentations.
  • Acquired cases are exceptionally rare, often linked to underlying vascular pathologies.

Observation:

  • A 51-year-old patient presented with symptomatic hemorrhoids.
  • Concomitant left gluteal varices were identified.
  • The varices were found to be an acquired condition.

Findings:

  • The gluteal varices were directly caused by an internal iliac artery-vein fistula.
  • This fistula represents a rare cause of acquired gluteal varices.
  • The case underscores the importance of investigating atypical vascular presentations.

Implications:

  • Highlights the potential for acquired gluteal varices secondary to arteriovenous fistulas.
  • Suggests a need for advanced imaging in diagnosing obscure pelvic vascular issues.
  • Emphasizes the importance of considering fistulas in the differential diagnosis of gluteal varices.

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