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Pulsatile gluteal mass revealed as a false aneurysm of a persistent sciatic artery. A case report
K H Hessling1, J Szkandera, L Theron
1Department of Surgery, State Hospital, Windhoek, South West Africa/Namibia.
South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|February 20, 1988
Abstract:
A 57-year-old black man presented with a pulsatile gluteal mass and claudication. Angiography revealed a persistent sciatic artery to be the main arterial supply to the limb; this vessel had a false aneurysm caused by atherosclerotic rupture of its gluteal portion. It was successfully treated by excision and an autologous vein graft. A brief survey of this rare condition -- the embryology, and the angiographic and clinical features -- is given. The importance of recognising the symptoms is emphasised.