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.
CullifordATCukinghamRAWorthMHJr. Aneurysms of the gluteal vessels: their etiology and management. J Trauma. 1974;14(1):77–81.
5.
KheraGSheaAJParkinsonRLambrianidesAL. Delayed diagnosis of a gluteal pseudoaneurysm caused by blunt trauma: review of the literature and presentation of a case report. J Trauma. 2006;60(3):644–647.
6.
GilroyDSaadiaRHideGDemetriadesD. Penetrating injury to gluteal region. J Trauma. 1992;32(3):294–297.
7.
AgarwalMGiannoudisPVSyedAAHinscheAFMatthewsSJESmithRM. Pseudoaneurysm of the inferior gluteal artery following polytrauma: diverse presentation of a dangerous complication: a report of two cases. J Orthop Trauma. 2003;17(1):70–74.
8.
KeelingANNaughtonPALeahyALLeeMJ. Traumatic inferior gluteal artery pseudoaneurysm and arteriovenous fistula managed with emergency transcatheter embolization. Cardiovasc Interv Radiol. 2008;31(suppl 2):135–139.
9.
NataliJDenisPJKiefferE. Syndrome de la feses barrante [in French]. J Mal Vasc. 1989;14(3):183–189.
10.
MikulinTWlakerEW. False aneurysm following blunt trauma. Injury. 1984;15(5):309–310.
11.
BennettJDBrownTCCoatesCFMackenzieDSweeneyJ. Pseudoaneurysm of the inferior gluteal artery. Can Assoc Radiol J. 1992;43(4):296–298.
12.
BarkerSGAnthonyAAPillaySSPorterAJDaviesRPJuryP. Sporting “groin strains”: not always muscular!Aust N Z J Surg. 1995;65(6):451–453.
13.
KuzuyaAFujimotoKIyomasaSMatsudaM. Transluminal coil embolisation of an inferior gluteal artery aneurysm by ultrasound guided direct puncture of the target vessel. Eur J Vasc Endovac Surg. 2005;30(2):130–132.
PapadopoulosSMMcGillicuddyJEMessinaLM. Pseudoaneurysm of the inferior gluteal artery presenting as sciatic nerve compression. Neurosurgery. 1989;24(6):926–928.
16.
HerberSCAjalatGMSmithDCHinshawDBJrKilleenJDJr. Transcatheter embolization facilitating surgical management of a giant inferior gluteal artery pseudoaneurysm. J Vasc Surg. 1988;8(6):716–720.
17.
YamakadoKNakatsukaATanakaNTakanoKMatsumuraKTakedaK. Transcatheter arterial embolization of ruptured pseudoaneurysms with coils and n-butyl cyanoacrylate. J Vasc Interv Radiol. 2000;11(1):66–72.
18.
ThalhammerCKirchherrASUhlichFWaigandJGrossCM. Postcatheterization pseudoaneurysm and arteriovenous fistulas: repair with percutaneous implantation of endovascular covered stents. Radiology. 2000;214(1):127–131.
