Iatrogenic pseudoaneurysm of the superior gluteal artery presenting as pelvic mass with foot drop and sciatica: case report and review of literature

Vascular and Endovascular Surgery
Phillip S GeChristian de Virgilio

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

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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
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

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