Abstract
We report an unusual case of a pseudoaneurysm of the superior gluteal artery as a complication of bone marrow biopsy. A 51-year-old man presented with sciatic pain and foot drop after undergoing bone marrow biopsy and was initially diagnosed as having degenerative disc disease based on his past medical history. Pelvic magnetic resonance imaging (MRI) revealed a large heterogeneous mass suggestive of a neurogenic tumor, but pulsatile blood was instead encountered during computed tomography (CT)-guided needle biopsy. Subsequent workup established the diagnosis of a superior gluteal artery pseudoaneurysm, which was treated with coil embolization, followed by surgical evacuation of the hematoma, which relieved his sciatic pain. However, the patient continues to have a persistent foot drop. Gluteal artery pseudoaneurysms are exceedingly uncommon but should be considered in the workup of a patient with gluteal pain or sciatic nerve palsy following trauma or medical procedures in the gluteal region.
References
Aug 12, 1992·JAMA : the Journal of the American Medical Association·R A DeyoD L Kent
Aug 1, 1991·The Journal of Trauma·J N VautheyJ Triller
Dec 1, 1990·Spine·F P CatinellaR L De Wald
Jun 1, 1990·Clinical Rheumatology·K W Bakker, L F Gast
Jul 1, 1994·Journal of Vascular Surgery·T IkezawaM Hirai
Sep 1, 1995·Cardiovascular and Interventional Radiology·T GabataT Takashima
Feb 25, 1998·Journal of Vascular Surgery·M A VasseurC Stankowiak
Feb 5, 2000·Cardiovascular and Interventional Radiology·H DeshmukhT Pantankar
Aug 15, 2002·Journal of Spinal Disorders & Techniques·Taşkin YurtsevenMustafa Parildar
Jun 6, 2003·British Journal of Haematology·Barbara J Bain
Mar 3, 2005·Journal of Neurosurgery. Spine·Aaron G FillerJ Patrick Johnson
Mar 25, 2005·VASA. Zeitschrift für Gefässkrankheiten·S T SchinderaJ Triller
Feb 25, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·R M LowenthalA Beasley
Mar 15, 2006·The Journal of Trauma·G KheraA L Lambrianides
May 15, 2007·The American Journal of Emergency Medicine·Ani AydinJeremy Ackerman
Sep 16, 2008·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Duygu Geler Kulcu, Sait Naderi
Feb 11, 2009·Bone Marrow Transplantation·B A McGregorM B Osswald
Citations
Nov 15, 2013·Journal of Clinical Imaging Science·Sawsan TaifMaali Talib
Jan 30, 2013·British Journal of Haematology·Carl M Sullivan, John M Regi
May 31, 2016·Turkish Journal of Emergency Medicine·Kerem Seref CorbaciogluAltan Yildiz
Jun 20, 2014·American Journal of Hematology·Bhavana KondaEllen W Friedman
Mar 13, 2016·Internal Medicine Journal·I R CaldwellL Pemberton
May 31, 2016·Annals of Vascular Surgery·Catherine E WesternJohn F Thompson
Aug 18, 2016·Annals of Vascular Surgery·Filippo GriselliRoberto Adovasio
Apr 24, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Woon Teck Yap, R Brooke Jeffrey
Oct 13, 2019·Prilozi·Sime TrpeskiNada Pop-Jordanova
Oct 5, 2020·Skeletal Radiology·J D StensbyJ W Jennings
Feb 16, 2013·British Journal of Hospital Medicine·S BhattacharjeeI Ghosh
Sep 4, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Michael HadeedCyril Mauffrey
Apr 18, 2019·Oncology Research and Treatment·Andrej WojciechowskiAxel Matzdorff