Paper Information

Journal:   JOURNAL OF MEDICAL COUNCIL OF I.R.I.   SUMMER 2004 , Volume 22 , Number 2; Page(s) 122 To 128.
 
Paper: 

A CASE OF PSEUDOANEURYSM OF THE GLUTEAL ARTERY AND SCIATICA

 
 
Author(s):  ZAFARGHANDI M.R., SHOJAEIFARD A.A.F.
 
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Abstract: 

This case report pertains to a man aged 42 years who presented with pain along the sciatic nerve distribution and difficulty in walking 15 years after susfaining a shrapnel injury in the gluteal region in the Iran - Iraq war; and was being investigated for discopathy. In the CT Scan and other investigations, no evidence of a herniated disc was present except for a mass in the pelvic region for which the patient was referred to the surgeon. On exanination, a pulsatile mass in the gluteal region was felt. Sonography and angiography confmned a pseudoaneurysm of the gluteal artery which dated back to a shrapnel injury years ago. The patient was scheduled for surgery, and after ligature of the right iliac internal and right gluteal arteries via a retroperitoneal and pelvic approach, and thenafter changing the position of the patient and gaining access to the pseudoaneurysm in the gluteal region, the pseudoaneurysm was evacuated and its pressure on the sciatic nerve released. This resulted in total disappearance of the patient s symptoms. In literature review, only six patients presenting with pain in the distribution of the sciatic nerve secondary to gluteal artery aneurysm could be found which world be discussed.

 
Keyword(s): PSEUDOANEURYSM, GLUTEAL ARTERY, SCIATICA
 
References: 
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