Gluteal compartment syndrome: A rare complication following endovascular aneurysm repair and internal iliac coil embolization

Abstract

Objectives

Combined aneurysmal and occlusive disease presents a challenging clinical problem often treated with a hybrid combined open and endovascular approach. Gluteal compartment syndrome is a rare but serious complication following vascular surgical intervention.

Methods

We present the case of a 77-year-old man who underwent hybrid repair of an iliac aneurysm and chronic limb-threatening ischemia with associated rest pain. Following an uneventful repair, in the early postoperative period, he developed severe left buttock pain with an isolated lactic acidosis and elevated creatine kinase. He was expeditiously diagnosed with left gluteal compartment syndrome and underwent operative exploration with fasciotomy and subsequent delayed primary closure.

Results and Conclusions

Gluteal compartment syndrome is a rare complication of hybrid iliac artery repair; however, early recognition and treatment may avoid the potential long-term morbidity. The patient in this case presentation recovered uneventfully and was shown to have complete aneurysmal exclusion with resolution of his occlusive symptoms.