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Cai ZJ, Salem AE, Wagner-Bartak NA, Elsayes KM, Negm AS, Rezvani M, Menias CO, Shaaban AM. Sciatic foramen anatomy and common pathologies: a pictorial review. Abdom Radiol (NY) 2022; 47:378-398. [PMID: 34664097 DOI: 10.1007/s00261-021-03265-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 08/23/2021] [Accepted: 08/25/2021] [Indexed: 11/25/2022]
Abstract
This article reviews the relevant anatomy, imaging features on computed tomography, magnetic resonance imaging, and management of common processes involving the sciatic foramen. The anatomy of the sciatic foramen is complex and provides an important conduit between the pelvis, gluteus, and lower extremity. This paper reviewed the anatomy, common pathologies, and imaging features of this region including trauma, infection, nerve entrapment, tumor spread, hernia, and vascular anomaly.
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Affiliation(s)
- Zhuoxuan J Cai
- Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, TX, 77030, USA
| | - Ahmed Ebada Salem
- Department of Diagnostic Radiology, University of Utah, Salt Lake City, UT, USA
- Department of Diagnostic Radiology, Mayo Clinic, Phoenix, AZ, USA
| | - Nicolaus A Wagner-Bartak
- Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, TX, 77030, USA
| | - Khaled M Elsayes
- Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, TX, 77030, USA.
| | - Ahmed S Negm
- Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, TX, 77030, USA
| | - Maryam Rezvani
- Department of Diagnostic Radiology, University of Utah, Salt Lake City, UT, USA
| | - Christine O Menias
- Department of Radiodiagnosis and Intervention, Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Akram M Shaaban
- Department of Diagnostic Radiology, University of Utah, Salt Lake City, UT, USA
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Rubinstein C, Endean ED, Minion DJ, Sorial EE, O'Keeffe SD, Xenos ES. Thrombin injection for the treatment of mycotic gluteal aneurysm. Vasc Endovascular Surg 2011; 46:77-9. [PMID: 21890561 DOI: 10.1177/1538574411419375] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Gluteal aneurysms are rare entity, whose surgical or endovascular management is traditionally challenging. Infectious source being increasingly more common as the underlying etiology. We herein describe successful implementation of direct thrombin injection as another therapeutic option for these patients.
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Affiliation(s)
- Chen Rubinstein
- Department of Surgery, Section of Vascular Surgery, University of Kentucky Medical Center, Lexington, KY 40536, USA
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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. [PMID: 21489927 DOI: 10.1258/vasc.2010.cr0225] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Mycotic aneurysm of the superior gluteal artery (SGA) is extremely rare. The review of the literature revealed only five cases of mycotic SGA aneurysms reported to date and none had a concomitant superior mesenteric artery (SMA) aneurysm. We describe a 64-year-old man with mycotic aneurysms of both the SGA and the SMA. The patient was referred to our hospital because of SMA embolism caused by bacterial endocarditis following mitral valve plasty. He was treated conservatively, but monitoring using computerized tomography (CT) scanning showed the development and growth of the SGA and the SMA aneurysms. The SMA aneurysm was resected surgically, and the SGA lesion was treated by means of selective embolization. For the treatment of SGA aneurysms, prompt and precise preoperative evaluation is important. When the anatomical feature and size of the aneurysm is suitable, endovascular treatment may be the first-line treatment, providing an efficacious and safe alternative to traditional surgical repair.
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Affiliation(s)
- Naoki Fujimura
- Department of Surgery, Keio University School of Medicine, Tokyo 160-8582, Japan
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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 2009; 44:64-8. [DOI: 10.1177/1538574409351990] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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.
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Affiliation(s)
- Phillip S. Ge
- David Geffen School of Medicine at UCLA, Los Angeles, California
| | - Gladys Ng
- David Geffen School of Medicine at UCLA, Los Angeles, California
| | | | - Hugh Gelabert
- Department of Surgery, West Los Angeles VA Medical Center, Los Angeles, California
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Bouarhroum A, El Khloufi S, El Hassani R, Bensaid Y. Bilateral mycotic aneurysm of the superior gluteal artery. Ann Vasc Surg 2009; 23:686.e7-9. [PMID: 19540714 DOI: 10.1016/j.avsg.2009.01.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2008] [Revised: 11/15/2008] [Accepted: 01/27/2009] [Indexed: 01/16/2023]
Abstract
Gluteal artery aneurysms are rare and mostly secondary to blunt or penetrating trauma. As an absolute rarity, we report an exceptional presentation of bilateral mycotic aneurysm of the superior gluteal artery in a 16-year-old boy associated with bacterial endocarditis. The left pseudoaneurysm was ruptured and treated using open surgery; 1 week later, the right location was successfully treated by embolization.
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Lee D, Legiehn GM, Munk PL. Pseudoaneurysm of the superior gluteal artery following polytrauma. Skeletal Radiol 2007; 36:875-8. [PMID: 17410354 DOI: 10.1007/s00256-007-0289-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2006] [Revised: 01/03/2007] [Accepted: 02/02/2007] [Indexed: 02/02/2023]
Abstract
Gluteal artery aneurysms are rare and often secondary to pelvic fractures, blunt or penetrating trauma. We describe a case of a superior gluteal artery pseudoaneurysm that presented as back pain with numbness and weakness of the lower extremities. Diagnosis was confirmed by color Doppler sonography and angiography. A proximal and distal control was obtained over the aneurysm neck via coil embolization with excellent hemostasis within the pseudoaneurysm and maintenance of perfusion to the left pelvis.
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Affiliation(s)
- Dennis Lee
- University of British Columbia and Department of Radiology, Vancouver General Hospital, 899 West 12th Avenue, Vancouver, BC V5Z 1M9, Canada.
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Berthelot JM, Pillet JC, Mitard D, Chevalet-Muller F, Planchon B, Maugars Y. Buttock claudication disclosing a thrombosis of the superior left gluteal artery: Report of a case diagnosed by a selective arteriography of the iliac artery, and cured by per-cutaneous stenting. Joint Bone Spine 2007; 74:289-91. [PMID: 17369072 DOI: 10.1016/j.jbspin.2006.06.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2006] [Accepted: 06/16/2006] [Indexed: 11/21/2022]
Abstract
We report on a case of left buttock claudication, occurring consistently after 150 meters walking, and disappearing after a short rest. As magnetic resonance angiography (MRA) did not show any explanation for this claudication, a selective angiography of left internal iliac artery was requested, which clearly identified a tight stenosis of the onset of the left superior gluteal artery. A per-cutaneous angioplasty together with stenting of this artery, induced a prompt and complete relief of pain at the three months follow-up visit.
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Affiliation(s)
- Jean-Marie Berthelot
- Service de Rhumatologie, Hôtel-Dieu, CHU Nantes, 1, Place Alexis, 44093 Nantes Cedex 01, France.
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Pseudoaneurismas de la arteria glútea superior. A propósito de un caso y revisión de la bibliografía. ANGIOLOGIA 2006. [DOI: 10.1016/s0003-3170(06)75003-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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