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Traumatic aneurysm in persistent sciatic artery
Erol Kurc1, Numan Ali Aydemir, Murat Sargin
1From the Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.
Innovations (Philadelphia, Pa.)
|March 23, 2012
Summary
A rare case of persistent sciatic artery aneurysm, a remnant of embryonic circulation, was successfully treated. This traumatic aneurysm in the gluteal region required surgical intervention for resolution.
Area of Science:
- Vascular Surgery
- Anatomy
- Trauma Surgery
Background:
- The sciatic artery is a major embryonic lower limb artery that typically regresses.
- Persistence of the sciatic artery is rare, with aneurysmal dilatation being the most common associated pathology.
- Traumatic aneurysms can arise from persistent sciatic arteries following injury.
Purpose of the Study:
- To present a rare case of a traumatic persistent sciatic artery aneurysm.
- To describe the diagnostic process and surgical management of this condition.
- To highlight the importance of recognizing persistent sciatic artery in cases of gluteal masses post-trauma.
Main Methods:
- Diagnosis involved clinical examination and peripheric digital subtraction angiography.
- Surgical management included iliopopliteal bypass and ligation of the internal iliac artery.
- The procedure was performed under general anesthesia.
Main Results:
- A 59-year-old male presented with a pulsatile right gluteal mass post-blunt trauma.
- Persistent sciatic artery with a traumatic aneurysm was diagnosed.
- The patient underwent successful surgical repair and was discharged on postoperative day 7 without complications.
Conclusions:
- Persistent sciatic artery aneurysms are rare but important differential diagnoses for gluteal masses.
- Prompt diagnosis and surgical intervention, such as bypass and ligation, can lead to favorable outcomes.
- This case underscores the clinical significance of persistent sciatic artery in vascular surgery.
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