Pulsatile gluteal mass revealed as a false aneurysm of a persistent sciatic artery. A case report.
A 57-year-old black man presented with a pulsatile gluteal mass and claudication. Angiography revealed a persistent sciatic artery to be the main arterial supply to the limb; this vessel had a false aneurysm caused by atherosclerotic rupture of its gluteal portion. It was successfully treated by excision and an autologous vein graft. A brief survey of this rare condition -- the embryology, and the angiographic and clinical features -- is given. The importance of recognising the symptoms is emphasised.
Hessling
K H
KH
Department of Surgery, State Hospital, Windhoek, South West Africa/Namibia.
Szkandera
J
J
Theron
L
L
D000783:Aneurysm / Q000000981:diagnostic imaging*; D001158:Arteries / Q000002:abnormalities; D002081:Buttocks / Q000098:blood supply*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography