Traumatic inferior gluteal artery pseudoaneurysm: case report and review of literature

• Published in: The American journal of emergency medicine Vol. 25; no. 4; pp. 488.e1 - 488.e3
• Main Authors: Aydin, Ani, Lee, Christopher C., MD, Schultz, Eric, MD, Ackerman, Jeremy, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-05-2007; Elsevier Limited
• Subjects: Adult; Aneurysm, False - diagnosis; Aneurysm, False - etiology; Aneurysm, False - surgery; Angiography; Blood pressure; Blood tests; Buttocks - blood supply; Embolization, Therapeutic; Emergency; Emergency medical care; Emergency Medicine - methods; Hemoglobin; Humans; Literature reviews; Magnetic resonance imaging; Male; Medical imaging; Nausea; Pain; Pseudoaneurysm; Stabbings; Tomography; Trauma; Treatment Outcome; Ultrasonic imaging; Veins & arteries; Vital signs; Vomiting; Wounds, Penetrating - complications
• ISSN: 0735-6757; 1532-8171
• DOI: 10.1016/j.ajem.2006.11.015

Abstract Inferior gluteal artery pseudoaneurysms are rare, with few cases reported in the recent literature. Such cases often present with a variable time course, mode of injury, and associated symptoms, leading to their misdiagnoses and improper treatment. We report a case of a posttraumatic inferior artery pseudoaneurysm that presented 3 months after the initial injury with a warm, tender, enlarging mass and numbness in the ipsilateral lower extremity. This article highlights the importance of placing a pseudoaneurysm in the differential diagnosis of an indurated, fluctuant, warm, erythematous posttraumatic mass, despite the absence of thrills, bruits, and pulsations.