Selective embolization of a superior gluteal artery pseudoaneurysm associated with von Willebrand's disease

We report the case of an iliopsoas hematoma caused by an iliolumbar branch pseudoaneurysm, following a relatively minor blunt pelvic trauma. Laboratory investigation revealed an as yet undiagnosed von Willebrand's disease. The pseudoaneurysm was successfully embolized superselectively and the hematoma, causing femoral neuropathy, was subsequently drained surgically without major bleeding.