Abstract
The case of a 28-year-old man who presented with a false aneurysm of the inferior gluteal artery 3 months after a penetrating wound to the buttock is reported. Percutaneous transcatheter embolization was unsuccessful. At operation, abdominal access was used for control, with a gluteal approach to provide exposure of the aneurysm. The presentation and management of patients with this pattern of injury are discussed, and the relevant literature reviewed.
Get full access to this article
View all access options for this article.
References
1.
Ivatury
RR
Rao
PM
Nallathambi
M
Gaudino
J
Stahl
WM
. Penetrating gluteal injuries . J Trauma
1982 ; 22 : 706 –9 .
2.
Gilroy
D
Saadia
R
Hide
G
Demetriades
D.
Penetrating injury to the gluteal region . J Trauma
1992 ; 32 : 294 –7 .
3.
Maull
KI
Snoddy
JW
Haynes
BW
. Penetrating wounds of the buttock . Surg Gynecol Obstet
1979 ; 149 : 855 –7 .
4.
Feigenberg
Z
Ben-Baruch
D
Baruk
R
Zer
M.
Penetrating stab wound of the gluteus — A potentially life threatening injury: Case reports . J Trauma
1992 ; 33 : 776 –8 .
5.
Culliford
AT
Cukingham
RA
Worth
MH
. Aneurysms of the gluteal vessels: Their aetiology and management . J Trauma
1974 ; 14 : 77 –81 .
6.
Henry
AK
. Extensile Exposure , 2nd ed , Edinburgh and London, UK : E. & S. Livingstone Ltd , 1957 : 180 –92 .
7.
Fallon
WF
Reyna
TM
Brunner
RG
Crooms
C
Alexander
RH
. Penetrating trauma to the buttock . South Med J
1988 ; 81 : 1236 –8 .
8.
Klein
FA
Texter
JH
Snoddy
WJ
. Urologic injuries associated with penetrating wounds to the buttock . Virginia Med
1980 ; 107 : 375 –7 .
9.
Rich
NM
Baugh
JH
Hughes
CW
. Acute arterial injuries in Vietnam . J Trauma
1970 ; 10 : 359 –9 .
10.
Drapanas
T
Hewitt
RL
Weichert
RF
Smith
AD
. Civilian vascular injuries: A critical appraisal of three decades of management . Ann Surg
1970 ; 172 : 351 –60 .
11.
Perry
MO
. Complications of missed arterial injuries . J Vasc Surg
1993 ; 17 : 399 –407 .
12.
Demetriades
D
Rabinowitz
B
Sofianos
C.
Gluteal artery aneurysms . Br J Surg
1988 ; 75 : 494 .
13.
Herber
SC
Ajalat
GM
Smith
DC
Hinshaw
DB
Killeen
JD
. Transcatheter embolization facilitating surgical management of a giant inferior gluteal artery pseudoaneurysm . J Vasc Surg
1988 ; 8 : 716 –20 .
14.
Matas
R.
Surgery of the vascular system . In:
Keen
WW
Da Costa
JD
, eds. Surgery: Its Principles and Practice.
Philadelphia, USA : WB Saunders & Co , 1909 ; Vol.5 : 340 .
15.
Williams
W
Jackson
GF
Greene
C.
Superior gluteal artery aneurysm . J Trauma
1977 ; 17 : 477 –9 .
16.
Weibke
EA
Lipsett
PA
. A pseudoaneurysm of the superficial femoral artery as a late complication of a stab wound . Ann Emerg Med
1991 ; 20 : 135 –6 .
17.
Tohmeh
AG
Perler
BA
. Angiography in the evaluation of proximal arterial injury . Surg Gynecol Obstet
1990 ; 170 :117 –20 .
18.
Meek
GN
Hill
RL
. Surgical treatment of gluteal artery aneurysms . Am J Surg
1968 ; 116 : 731 –4 .
19.
Smyth
NPD
Rizzoli
HV
Ordman
CW
Khoury
JN
Chiocca
JC
. Gluteal aneurysm . Arch Surg
1965 ; 91 : 1014 –20 .
20.
Teitelbaum
GP
Reed
RA
Larsen
D
Microcatheter embolization of non-neurologic traumatic vascular lesions . J Vasc Interventional Radiol
1993 ; 4 : 149 –54 .
21.
Marin
ML
Veith
FJ
Panetta
TF
Transluminally placed endovascular stented graft repair for arterial trauma . J Vasc Surg
1994 ; 20 : 466 –73 .