Bilateral Mycotic Aneurysm of the Superior Gluteal Artery

Bouarhroum, Abdellatif; Khloufi, Samir El; Hassani, R.; Bensaïd, Y.

doi:10.1016/j.avsg.2009.01.005

Cited by 5 publications

(7 citation statements)

References 16 publications

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“…Most GAAs are pseudoaneurysms, with a mechanism of trauma; leading causes are pelvic fracture, perforating injury, and iatrogenic origin 10 . True aneurysms are extremely rare, with reported causes being mycotic,2, 11, 12, 13, 14, 15, 16 atherosclerosis,4, 6, 10, 17, 18 polyarteritis nodosa, 5 arteriovenous malformation, 19 and intimal-medial mucoid degeneration 20 . The most common etiology of true aneurysms is mycotic.…”

Section: Discussionmentioning

confidence: 99%

“…The endovascular approach does not allow histopathologic confirmation of etiology; hence, the etiology of endovascular cases was categorized on the basis of history, physical examination findings, and morphologic features of the aneurysms. One can further classify GAAs into inferior and superior branches, the latter being threefold more common 6, 14. Left is more common than right, with bilateral aneurysms being reported once in 2009, and men are more commonly affected than women are 15 …”

Section: Discussionmentioning

confidence: 99%

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True superior gluteal artery aneurysm

Fried¹,

Wright

2015

Journal of Vascular Surgery Cases

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Gluteal artery aneurysms (GAAs), classified as true or false, account for <1% of all aneurysms. Of the 175 GAAs reported in the English literature, 20 are true aneurysms, making this case the twenty-first reported true aneurysm and sixth of atherosclerotic origin. We report a true GAA in a 72-year-old woman. Pelvic computed tomography suggested GAA (7.2 × 4.9 cm); subsequently, an endovascular approach allowed definitive diagnosis and treatment—coil embolization. In accordance with the literature and the surgical and clinical success of our case, endovascular embolization of GAAs has emerged as an effective and safe treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

True superior gluteal artery aneurysm

Fried¹,

Wright

2015

Journal of Vascular Surgery Cases

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“…Doppler ultrasound could be used to confirm the arterial origin of the mass; however, CT or magnetic resonance imaging is more accurate for diagnosis. Angiography is a diagnostic and therapeutic modality [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of a Superior Gluteal Artery Mycotic Aneurysm

et al. 2015

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Gluteal artery aneurysms are uncommon among all aneurysms and are usually a result of trauma. Streptococcus viridans bacteremia has been described in rare cases of extracranial mycotic aneurysms. Despite a variable clinical presentation, mycotic aneurysms of the superior gluteal artery could be the cause in patients with unexplained sciatica pain. Here we report a very rare case of spontaneous rupture of a superior gluteal artery mycotic aneurysm in a patient with underlying infective endocarditis (IE) secondary to Streptococcus viridans.

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“…[ 4 5 6 ] Other reported causes include iatrogenic (9 cases); caused by pelvic surgeries and interventional procedures like bone marrow biopsy, mycotic (6 cases), connective tissue disorders, vasculitis, and atherosclerosis (5 cases). [ 2 4 5 6 7 8 9 ]…”

Section: Discussionmentioning

confidence: 99%

Superior Gluteal Artery Pseudoaneurysm Presenting as a Gluteal Mass: Case Report and Review of Literature

Taif

Derweesh

Talib

2013

Journal of Clinical Imaging Science

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Aneurysms of the gluteal arteries are very rare with the majority being post-trauma pseudoaneurysms. Generally, management of these aneurysms could be surgical or through endovascular techniques. We present a case of a superior gluteal artery pseudoaneurysm complicating a pelvic fracture that presented as a gluteal mass. It was successfully treated by transcatheter coil embolization. We review the presentation, imaging, and treatment options. Aneurysms have to be considered in the differential diagnosis of soft tissue masses, therefore lesion intervention by aspiration or needle biopsy should not be tried before ruling out a possible vascular nature which will easily be revealed by ultrasound Doppler or computed tomography scans.

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Bilateral Mycotic Aneurysm of the Superior Gluteal Artery

Cited by 5 publications

References 16 publications

True superior gluteal artery aneurysm

True superior gluteal artery aneurysm

Spontaneous Rupture of a Superior Gluteal Artery Mycotic Aneurysm

Superior Gluteal Artery Pseudoaneurysm Presenting as a Gluteal Mass: Case Report and Review of Literature

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