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Inferior gluteal artery pseudoaneurysm after fall from a bicycle: case report

Pseudoaneurysms of gluteal arteries are rare, especially involving the inferior gluteal artery. They are mainly associated with penetrating trauma, infections, or pelvic fractures. A minority of cases are caused by blunt traumas, with only six cases reported in English. We present a case of pseudoan...

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Autores principales: Costa, Renato Fanchiotti, Yoshida, Ricardo de Alvarenga, Gibin, Rodrigo Jaldin, Sobreira, Marcone Lima, Pimenta, Rafael Elias Fares, Bertanha, Matheus, de Camargo, Paula Angeleli Bueno, Yoshida, Winston Bonetti
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375272/
https://www.ncbi.nlm.nih.gov/pubmed/30787957
http://dx.doi.org/10.1590/1677-5449.003018
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author Costa, Renato Fanchiotti
Yoshida, Ricardo de Alvarenga
Gibin, Rodrigo Jaldin
Sobreira, Marcone Lima
Pimenta, Rafael Elias Fares
Bertanha, Matheus
de Camargo, Paula Angeleli Bueno
Yoshida, Winston Bonetti
author_facet Costa, Renato Fanchiotti
Yoshida, Ricardo de Alvarenga
Gibin, Rodrigo Jaldin
Sobreira, Marcone Lima
Pimenta, Rafael Elias Fares
Bertanha, Matheus
de Camargo, Paula Angeleli Bueno
Yoshida, Winston Bonetti
author_sort Costa, Renato Fanchiotti
collection PubMed
description Pseudoaneurysms of gluteal arteries are rare, especially involving the inferior gluteal artery. They are mainly associated with penetrating trauma, infections, or pelvic fractures. A minority of cases are caused by blunt traumas, with only six cases reported in English. We present a case of pseudoaneurysm of the right inferior gluteal artery after a bicycle fall, presenting with a large hematoma in the gluteal region, observed during clinical examination, and significantly reduced hemoglobin. CT angiography revealed a large hematoma, with contrast extravasation and pseudoaneurysm formation. Angiography revealed that the origin of the lesion was in the right inferior gluteal artery. This artery was embolized with coils. After the procedure, the patient was referred to an intensive care unit, from where he was later transferred to a different hospital, with bleeding controlled. Endovascular treatment of these cases is a safe, fast and an effective option.
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spelling pubmed-63752722019-02-20 Inferior gluteal artery pseudoaneurysm after fall from a bicycle: case report Costa, Renato Fanchiotti Yoshida, Ricardo de Alvarenga Gibin, Rodrigo Jaldin Sobreira, Marcone Lima Pimenta, Rafael Elias Fares Bertanha, Matheus de Camargo, Paula Angeleli Bueno Yoshida, Winston Bonetti J Vasc Bras Case Report Pseudoaneurysms of gluteal arteries are rare, especially involving the inferior gluteal artery. They are mainly associated with penetrating trauma, infections, or pelvic fractures. A minority of cases are caused by blunt traumas, with only six cases reported in English. We present a case of pseudoaneurysm of the right inferior gluteal artery after a bicycle fall, presenting with a large hematoma in the gluteal region, observed during clinical examination, and significantly reduced hemoglobin. CT angiography revealed a large hematoma, with contrast extravasation and pseudoaneurysm formation. Angiography revealed that the origin of the lesion was in the right inferior gluteal artery. This artery was embolized with coils. After the procedure, the patient was referred to an intensive care unit, from where he was later transferred to a different hospital, with bleeding controlled. Endovascular treatment of these cases is a safe, fast and an effective option. Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2018 /pmc/articles/PMC6375272/ /pubmed/30787957 http://dx.doi.org/10.1590/1677-5449.003018 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Costa, Renato Fanchiotti
Yoshida, Ricardo de Alvarenga
Gibin, Rodrigo Jaldin
Sobreira, Marcone Lima
Pimenta, Rafael Elias Fares
Bertanha, Matheus
de Camargo, Paula Angeleli Bueno
Yoshida, Winston Bonetti
Inferior gluteal artery pseudoaneurysm after fall from a bicycle: case report
title Inferior gluteal artery pseudoaneurysm after fall from a bicycle: case report
title_full Inferior gluteal artery pseudoaneurysm after fall from a bicycle: case report
title_fullStr Inferior gluteal artery pseudoaneurysm after fall from a bicycle: case report
title_full_unstemmed Inferior gluteal artery pseudoaneurysm after fall from a bicycle: case report
title_short Inferior gluteal artery pseudoaneurysm after fall from a bicycle: case report
title_sort inferior gluteal artery pseudoaneurysm after fall from a bicycle: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375272/
https://www.ncbi.nlm.nih.gov/pubmed/30787957
http://dx.doi.org/10.1590/1677-5449.003018
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