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Related Experiment Videos

Buttock claudication from isolated bilateral internal iliac arterial stenoses.

K J Hodgson1, D S Sumner

  • 1Department of Surgery, Southern Illinois University, School of Medicine, Springfield 62708.

Journal of Vascular Surgery
|March 1, 1988
PubMed
Summary

Severe buttock claudication can occur despite normal exercise ankle pressures. This case highlights isolated bilateral hypogastric arterial stenosis as a rare cause of claudication symptoms.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiology

Background:

  • Intermittent claudication typically presents with leg pain during exercise due to arterial obstruction.
  • Normal ankle-brachial index (ABI) after exercise usually excludes significant peripheral artery disease.

Observation:

  • A woman presented with severe buttock claudication.
  • She exhibited normal ankle systolic pressures following exercise testing.

Findings:

  • The cause of her symptoms was identified as isolated bilateral hypogastric arterial stenosis.
  • This condition involves narrowing of the internal iliac arteries bilaterally.

Implications:

  • Clinicians should consider hypogastric arterial disease in cases of claudication when other causes are ruled out.

Related Experiment Videos

  • This case expands the differential diagnosis for exertional leg and buttock pain.