title: Delayed presentation and management of blunt traumatic inferior gluteal artery pseudoaneurysm with associated arteriovenous fistula.
abstract: Disruption of arterial wall integrity as a result of trauma, iatrogeny, inflammation, or infection may result in pseudoaneurysm formation. Gluteal artery aneurysms are rare and represent less than 1% of all arterial aneurysms. Pseudoaneurysms of the inferior gluteal artery (IGA) following blunt trauma are exceptionally rare with only 6 reported cases in the English literature. We describe an 82-year-old female with a remote history of a fall presenting with an enlarging buttock mass. Imaging confirmed an IGA pseudoaneurysm with associated arteriovenous fistula that was successfully treated with endovascular embolization.
authors.affiliation: 1Division of Vascular Diseases & Surgery, Department of Surgery, The Wexner Medical Center, The Ohio State University College of Medicine, Columbus, OH, USA.
authors.forename: Nicolas J
authors.initials: NJ
authors.lastname: Mouawad
authors.forename: Mounir J
authors.initials: MJ
authors.lastname: Haurani
authors.forename: Thomas
authors.initials: T
authors.lastname: Mason
authors.forename: Bhagwan
authors.initials: B
authors.lastname: Satiani
mesh_terms: D000058:Accidental Falls; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D015901:Angiography, Digital Subtraction; D001158:Arteries / Q000293:injuries; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002081:Buttocks / Q000098:blood supply*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D013997:Time Factors; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
keywords: arteriovenous fistula; blunt trauma; endovascular; inferior gluteal artery; pseudoaneurysm