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Pulsatile buttock masses: gluteal and persistent sciatic artery aneurysms

G Steele, R J Sanders, J Riley

    Surgery
    |August 1, 1977
    PubMed
    Summary
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    Persistent sciatic artery aneurysms, presenting as pulsatile masses, require arteriography for diagnosis. Surgical exclusion and saphenous vein graft reconstruction effectively treat these rare vascular conditions.

    Area of Science:

    • Vascular Surgery
    • Diagnostic Imaging

    Background:

    • Persistent sciatic artery aneurysms are rare vascular anomalies.
    • Pulsatile buttock masses can indicate underlying arterial pathology.

    Observation:

    • A 65-year-old woman presented with a pulsatile buttock mass.
    • The mass was diagnosed as a persistent sciatic artery aneurysm.

    Findings:

    • Arteriography is crucial for diagnosing persistent sciatic artery aneurysms.
    • Surgical exclusion and reconstruction with a saphenous vein graft were performed.
    • This approach successfully treated the aneurysm and restored circulation.

    Implications:

    • Early diagnosis via arteriography is key for effective management.

    Related Experiment Videos

  • Vascular reconstruction ensures limb viability and prevents complications.
  • This case highlights successful surgical management of a rare vascular condition.