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[Intermittent claudication of the buttock (author's transl)]
Insights
Buttock claudication from arterial issues is often missed but easily diagnosed. Iliac artery lesions, with open lower leg arteries, can lead to severe limb ischemia.
Area of Science:
- Vascular Surgery
- Arterial Disease
- Clinical Diagnosis
Background:
- Buttock claudication of arterial origin is frequently overlooked.
- This condition stems from iliac artery pathologies.
- It coexists with patent femoral and popliteal arteries.
Purpose of the Study:
- To highlight the diagnostic importance of buttock claudication.
- To describe the arterial lesions causing this syndrome.
- To assess the risk of acute ischemia associated with iliac artery stenosis.
Main Methods:
- Clinical history review
- Physical examination findings
- Arterial lesion characterization (occlusion vs. stenosis)
Main Results:
- The syndrome is characterized by iliac artery lesions.
- Complete common iliac artery occlusion occurs in approximately one-third of cases.
- Pre-occlusive stenosis in the iliac arteries is present in two-thirds, posing a high risk for acute limb ischemia.
Conclusions:
- Buttock claudication is a significant clinical sign of iliac artery disease.
- Early diagnosis and management are crucial to prevent acute limb ischemia.
- Understanding lesion type (occlusion vs. stenosis) informs risk stratification.
Abstract:
Intermittent claudication of the buttock of arterial origin is a syndrome too often overlooked though easily diagnosed from the patient's history and clinical examination. It is due to lesions of the iliac arteries coexisting with permeable femoral and popliteal arteries. In about one-third of the cases the common iliac artery is completely occluded; in the remaining two-thirds the lesion consists of pre-occlusive stenosis and carries a high risk of acute ischaemia in the corresponding limb.