Stab Injury with Tailoring Scissor Causing Inferior Gluteal Artery Pseudo Aneurysm: a Rare Case Report
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 5 No. 4(Autumn) (2015),
18 September 2015
,
Page 218-221
https://doi.org/10.22037/ijmtfm.v5i4(Autumn).9464
Abstract
Background: Gluteal artery pseudo aneurysm (GAP) is a rare entity, as gluteal arteries are well protected under muscles and fat of gluteal region. Gluteal artery aneurysms constitute less than 1% of all aneurysms and most of them are pseudo aneurysms. The common etiologies of GAP areblunt or penetrating trauma to gluteal region, infection, fractures of the pelvis or iatrogenic injury during surgical procedures on the pelvis or hips to intramuscular injection. The usual presentation is a pulsatile gluteal mass often confused with a gluteal abscess presenting 1-2 months after injury. However, at times it can cause symptoms due to compression of pelvic structures.
Case Report: Our patient was a young boy who had injury to his right gluteal region with a tailoring scissor during a scuffle. He presented to casualty in shock with packing of wound done outside. After resuscitation his Computed tomographic angiography (CT angiography) revealed a psuedoanuerysm of inferior gluteal artery. He was immediately taken up for surgery a transperitoneal ligation of internal iliac artery of the involved side was done along with exploration of the gluteal wound.
Conclusion: These patients of Gluteal artery aneurysms can be managed with both open and endovascular techniques. Our patient was unique in the respect that no GAP has been reported after stab injury with a tailoring scissor and ours is first case report in English literature .We want that the surgeons should keep in mind the possibility of GAP while dealing with even trivial injuries of gluteal region.
- Inferior gluteal artery
- Psuedoanuerysm
- Tailoring scissor
How to Cite
References
Mouawad NJ, Haurani MJ, Mason T, Satiani B. Delayed presentation and management of blunt traumatic inferior gluteal artery pseudo-aneurysm with associated arteriovenousfistula. Vasc Endovascular Surg. 2013 Oct;47(7):573-6.
Smyth NP, Rizzoli HV, Ordman CW, Khoury JN, Chiocca JC. Gluteal aneurysm.ArchSurg. 1965;91(6):1014-20.
Maled I, Velez R, Lopez R, Batalla L, Caja VL. Pseudoaneurysm of the superior gluteal artery during iliosacral screw fixation. Acta Orthop Belg. 2007;73:544 7.
Fujimura N, Obara H, Matsumoto K, Kitagawa Y. Mycotic aneurysm of the superior gluteal artery in a patient with bacterial endocarditis: Case report and review of the literature. Vascular. 2011;19:47-50.
Saad PF, Saad KR, Armstrong DO, Soares BF, Almeida PD, Filho AR. Inferior gluteal artery pseudo-aneurysm related to intramuscular injection. Int J Surg Case Rep. 2015;6:629–32.
Schorn B, Reitmeier F, Falk V, Oestmann JW, Dalichau H, Mohr FW. True aneurysmof the superior gluteal artery: case report and review of the literature. J Vasc.Surg. 1995;21(5):851-4.
Ge PS, Ng G, Ishaque BM, Gelabert H, de Virgilio C. Iatrogenic pseudoaneurysm of the superior gluteal artery presenting as pelvic mass with foot drop and sciatica: Case report and review of literature. Vasc Endovascular Surg. 2010;44:64-8.
Roblin P, Alexiou T, Sabharwal T, Reidy J, Ross DA. Successful stent graft placement for the treatment of a superior gluteal artery aneurysm in a patient following complex pelvic surgery. Br J Radiol. 2007;80:7‑10.
Singh V, Maini L. Inferior gluteal artery pseudoaneurysm Mimicking a gluteal abscess- a rare but dangerous presentation. JMGIMS. 2008;13(1):58 – 61.
Sawsan T, Asim D, Maali T. Superior Gluteal Artery Pseudoaneurysm Presenting as a Gluteal Mass: Case Report and Review of Literature. J Clin Imaging Sci. 2013;3:49.
Rubinstein C, Endean ED, Minion DJ, Sorial EE, O’Keeffe SD. Thrombin Injection for the Treatment of Mycotic Gluteal Aneurysm Vasc Endovascular Surg. 2012;46:77‑9.
Vasseur MA, Doisy VC, Prat AG, Stankowiak C. Coil embolization of a glutealfalse aneurysm in a patient with Marfan syndrome. J Vasc Surg. 1998;27(1):177-9.
Nachbur BH, Inderbitzi RG, Bär W. Isolated iliac aneurysms. Eur J Vasc Surg. 1991;5(4):375-81.
Burchell RC. Physiology of internal iliac artery ligation. J Obstet Gynaecol Br Commonw. 1968;75(6):642-51.
dé Medici L, Bucci F, Nesi F, Rabitti G. Embolization of isolated hypogastric artery aneurysm: a case report and a review of the literature. Cardiovasc Intervent Radiol. 2006;29(5):893-6.
Haseen MA, Mohd F, Beg-Mohd H, Naiyyer A, Saifullah K. Femoral artery Pseudoaneurysm following trivial trauma : a rare case scenario. Indian J Thorac Cardiovasc Surg; 2015;31(1):34-7.
Mohler ER, Mitchell ME, Carpenter JP, Strandness DE J, Jaff MR, Beckman JA, Gerhard-Herman M.Therapeutic thrombin injection of pseudo-aneurysms: a multicentre experience. Vasc Med. 2001;6(4):241-410.
Grecu F, Popa R, Bulgariu T, Motoc I, Ursulescu C, Grigoras I. Double Surgical Approach For Extrapelvic Pseudoaneurysm of Inferior Gluteal Artery. IJS/7/2/12691.
- Abstract Viewed: 263 times
- PDF Downloaded: 160 times