O. Richter, R. Schneider, M. Moche, S. Rohm, P. Fellmer, S. Jonas

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Presentation transcript:

A Pulsating Buttock Mass as a Rare Presentation of a Persistent Sciatic Artery O. Richter, R. Schneider, M. Moche, S. Rohm, P. Fellmer, S. Jonas EJVES Extra Volume 20, Issue 1, Pages e4-e7 (July 2010) DOI: 10.1016/j.ejvsextra.2010.04.002 Copyright © 2010 European Society for Vascular Surgery Terms and Conditions

Figure 1 MR scan of a 69-year-old woman who presented with a painful and pulsatile swelling at the back of her left buttock, and weakness and numbness of her left lower leg. A. An axial image at gluteal level showing an extrinsic compression of the sciatic nerve (arrowhead) by a gluteal mass (arrow). B. A coronal image at thigh region showing bilateral persistent sciatic arteries (asterisk) with aneurysmal dilatation of the left side (arrow) running along the course of the sciatic nerve (arrowhead) and giving rise to the popliteal artery. EJVES Extra 2010 20, e4-e7DOI: (10.1016/j.ejvsextra.2010.04.002) Copyright © 2010 European Society for Vascular Surgery Terms and Conditions

Figure 2 Digital subtraction angiography imaging. A. Bilateral tortuous complete PSA (asterisk) originating from the internal iliac artery with an aneurysm (arrow) at the proximal region of the left sciatic artery, and a left-side hypoplastic superficial femoral artery (arrowhead). B. 0-degree left anterior oblique (LAO) projection and C. 27-degree LAO projection with the PSA aneurysm (arrow). EJVES Extra 2010 20, e4-e7DOI: (10.1016/j.ejvsextra.2010.04.002) Copyright © 2010 European Society for Vascular Surgery Terms and Conditions

Figure 3 Operative findings. A. Left transgluteal approach showing the PSA with the aneurysm (A) and the laterally compressed sciatic nerve (arrow). B. After removing the aneurysm, a reversed saphenous vein graft (v) was interposed. EJVES Extra 2010 20, e4-e7DOI: (10.1016/j.ejvsextra.2010.04.002) Copyright © 2010 European Society for Vascular Surgery Terms and Conditions