Buttock claudication from isolated bilateral internal iliac arterial stenoses.
An unusual case is reported of severe buttock claudication in a woman with normal ankle systolic pressures after exercise, for which the cause was eventually found to be isolated bilateral hypogastric arterial stenosis. Although a normal ankle pressure response to exercise usually rules out vascular obstruction in patients with symptoms suggestive of intermittent claudication, the diagnosis of isolated hypogastric arterial disease should be entertained when a neurogenic or orthopedic explanation can be excluded.
Hodgson
K J
KJ
Department of Surgery, Southern Illinois University, School of Medicine, Springfield 62708.
Sumner
D S
DS
D000328:Adult; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000601:surgery; D002081:Buttocks / Q000098:blood supply*; D004691:Endarterectomy; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging* / Q000601:surgery; D007383:Intermittent Claudication / Q000209:etiology*; D005082:Physical Exertion; D011859:Radiography