Related Experiment Video

Updated: Mar 7, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

3.7K

Spontaneous Rupture of a Superior Gluteal Artery Mycotic Aneurysm

Neal George1, Mahmoud Abdelghany1, Owen Stark2

  • 1Department of Medicine, Conemaugh Memorial Medical Center, Johnstown, PA, USA.

Cardiology Research
|February 16, 2017
PubMed

Insights

This case report details a rare spontaneous rupture of a superior gluteal artery mycotic aneurysm, linked to Streptococcus viridans infective endocarditis. It highlights a potential cause for unexplained sciatica pain.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Radiology

Background:

  • Gluteal artery aneurysms are rare, often resulting from trauma.
  • Mycotic aneurysms, particularly extracranial ones, are infrequently associated with bacteremia.
  • Unexplained sciatica can sometimes be a symptom of superior gluteal artery mycotic aneurysms.

Observation:

  • A patient presented with symptoms suggestive of a gluteal artery aneurysm.
  • Infective endocarditis caused by Streptococcus viridans was identified as the underlying condition.
  • A spontaneous rupture of a superior gluteal artery mycotic aneurysm occurred.

Findings:

  • The study reports an extremely rare case of spontaneous rupture of a superior gluteal artery mycotic aneurysm.
  • The aneurysm was secondary to Streptococcus viridans infective endocarditis.
  • This presentation underscores a potential, though uncommon, etiology for severe sciatica.

Implications:

  • Highlights the importance of considering mycotic aneurysms in patients with unexplained sciatica and potential sources of infection.
  • Emphasizes the diagnostic challenges and rarity of spontaneous gluteal artery aneurysm rupture.
  • Suggests a need for vigilance in diagnosing and managing infective endocarditis with potential vascular complications.
Keywords:
Infective endocarditisMycotic aneurysmSciaticaStreptococcus viridansSuperior gluteal artery

More Related Videos

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment18:50

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment

Published on: September 25, 2009

14.1K
A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats06:50

A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats

Published on: August 15, 2025

486

Related Concept Videos

Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
564
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
452
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
422
Abdominal Aorta01:25

Abdominal Aorta

Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
2.8K
Arteries of Lower Limbs01:20

Arteries of Lower Limbs

The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
5.3K
Muscles that Move the Thigh01:20

Muscles that Move the Thigh

The thigh's motion is primarily governed by muscles originating in the pelvic girdle and inserted into the femur. One crucial muscle, the iliopsoas, is a combination of the psoas major and the iliacus muscles, sharing a common insertion point on the lesser trochanter of the femur.
Three other significant muscles are the gluteus maximus, gluteus medius, and gluteus minimus. The gluteus maximus originates from the posterior surface of the ilium, sacrum, and coccyx, and the thoracolumbar...
3.2K