Thrombosed persistent sciatic artery presenting with pain in the buttock

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Persistent Sciatic artery

Arteria comitans nervi ischiadici or Persistent sciatic artery (PSA) is a rare congenital vascular anomaly with an incidence varying 0.025-0.04% . During routine dissection in department of anatomy an incomplete type of Persistent sciatic artery was found which is being reported here. Its oncogeny and phylogeny is also discussed in detail. Such a PSA is prone to atheromatous degeneration, throm...

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Symptomatic Growth of a Thrombosed Persistent Sciatic Artery Aneurysm after Bypass and Distal Exclusion

A 71-year-old woman presented with an enlarging mass in the right buttock, with pain and tingling sensation in sitting position. Five years ago, she was diagnosed with acute limb ischemia due to acute thrombosis of right persistent sciatic artery (PSA), and she underwent successful thromboembolectomy and femoro-tibioperoneal trunk bypass. Computed tomography angiography revealed a huge PSA aneu...

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Mycotic Aneurysm of a Persistent Sciatic Artery

An 83-year-old febrile woman presented with leg pain. Her lateral right thigh was swollen, but no neurological or ischemic findings were noted. A computed tomography scan showed an abnormal right internal iliac artery leading directly into the posterior aspect of the thigh, which was determined to be a persistent sciatic artery (PSA) (Picture). The PSA was thrombosed, dilated, and surrounded by...

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A case of ruptured aneurysm of the persistent sciatic artery presenting acute lower limb ischemia.

Only 5 cases of ruptured aneurysm of the persistent sciatic artery have been previously reported to date. We experienced a case of ruptured aneurysm of the persistent sciatic artery presenting acute lower limb ischemia. Physical examination showed a pulsatile mass with a subcutaneous hemorrhage in the left buttock, drop foot and paresthesia of the foot due to limb ischemia. An enhanced computed...

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Persistent Sciatic Artery Aneurysm with Lower Limb Ischemia

Persistent sciatic artery is a very rare clinical entity. Those of us who have not seen the lesion regard this as a condition which is described in the literature through less than 200 cases. We report, here, a case of a 60-year-old female who presented to the surgical outdoor with complaints of a pulsatile gluteal swelling associated with ischemic changes in the ipsilateral lower limb. On Dopp...

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ژورنال

عنوان ژورنال: Canadian Medical Association Journal

سال: 2017

ISSN: 0820-3946,1488-2329

DOI: 10.1503/cmaj.161321