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Sporting 'groin strains': not always muscular!
S G Barker1, A A Anthony, S S Pillay
1Department of Vascular Surgery, Royal Adelaide Hospital, South Australia.
The Australian and New Zealand Journal of Surgery
|June 1, 1995
Summary
A gluteal artery pseudoaneurysm can mimic a groin strain after minor trauma. Superselective microcoil embolization effectively treated this rare vascular injury.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Diagnostic Imaging
Background:
- Gluteal artery pseudoaneurysms are rare vascular lesions.
- They can present insidiously, often mimicking musculoskeletal injuries like groin strain.
- Prompt and accurate diagnosis is crucial for effective management.
Observation:
- A case of gluteal artery pseudoaneurysm is presented.
- The patient experienced symptoms consistent with a 'groin strain' following minor trauma.
- Initial presentation suggested a common soft tissue injury.
Findings:
- Computed tomography (CT) scan and arteriography confirmed the diagnosis of pseudoaneurysm.
- Imaging revealed a contained rupture of the gluteal artery.
- The pseudoaneurysm was successfully identified as the source of symptoms.
Implications:
- This case highlights the importance of considering vascular etiologies in groin pain, even after minor trauma.
- Superselective catheterization and microcoil embolization offer a minimally invasive and effective treatment option.
- Early diagnosis and endovascular intervention can prevent complications and facilitate recovery.