title: Persistent sciatic vessels, varicose veins, and lower limb hypertrophy: an unusual case or discrete clinical syndrome?
abstract: Persistent sciatic artery is a rare congenital anomaly with a high incidence rate of aneurysmal degeneration and risk of thromboembolization or rupture. Despite a number of recognized associations, the presence of coexistent venous anomalies is extremely rare. We present the case of a 27-year-old woman with atypical left-sided varicose veins and soft tissue hypertrophy. Imaging showed persistence of both sciatic artery and vein. Whether these anomalies are an incidental finding or represent a discrete clinical syndrome remains unclear. We emphasize that unusual distribution varicose veins may be associated with underlying persistent sciatic vessels and recommend formal duplex scan assessment for these anomalies.
authors.affiliation: Department of Vascular Surgery, Huddersfield Royal Infirmary. DuncsParry@aol.com
authors.forename: Duncan J
authors.initials: DJ
authors.lastname: Parry
authors.forename: Munther I
authors.initials: MI
authors.lastname: Aldoori
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Hammond
authors.forename: David O
authors.initials: DO
authors.lastname: Kessel
authors.forename: Mike
authors.initials: M
authors.lastname: Weston
authors.forename: David J a
authors.initials: DJ
authors.lastname: Scott
mesh_terms: D000328:Adult; D001158:Arteries / Q000002:abnormalities*; D005260:Female; D006801:Humans; D006984:Hypertrophy; D007866:Leg / Q000098:blood supply* / Q000473:pathology*; D018810:Magnetic Resonance Angiography; D011859:Radiography; D013577:Syndrome; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000473:pathology*; D014680:Veins / Q000002:abnormalities*