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An internal iliac artery aneurysm causing sudden buttock ischemia and nerve root compression
Menno T de Bruijn1, Tom Verbelen1, C Peter Kralt2
1Department of Surgery, Ziekenhuisgroep Twente Hospital, Almelo, The Netherlands.
Journal of Vascular Surgery Cases
|November 15, 2019
Summary
Acute buttock ischemia and sciatic nerve compression from an internal iliac artery aneurysm can occur simultaneously. Prophylactic treatment may be considered regardless of aneurysm size due to severe outcomes.
Area of Science:
- Vascular Surgery
- Neurology
- Radiology
Background:
- Acute buttock ischemia is a rare but serious condition often linked to aneurysmal disease.
- Internal iliac artery aneurysms can lead to significant complications, including limb ischemia and nerve compression.
Observation:
- A case report of a healthy patient presenting with simultaneous buttock ischemia and sciatic nerve compression.
- The condition was caused by a small distal internal iliac artery aneurysm.
Findings:
- Endovascular coiling of the aneurysm successfully prevented further thromboembolism.
- Nerve compression symptoms were only partially alleviated by the coiling procedure.
Implications:
- This case suggests considering prophylactic treatment for internal iliac artery aneurysms, even small ones, to prevent severe complications.
- Early intervention may be crucial for managing both vascular and neurological deficits.
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