Taif Sawsan, Derweesh Asim, Talib Maali
Department of Radiology, Khoula Hospital, Muscat, Oman.
J Clin Imaging Sci. 2013 Oct 29;3:49. doi: 10.4103/2156-7514.120805. eCollection 2013.
Aneurysms of the gluteal arteries are very rare with the majority being post-trauma pseudoaneurysms. Generally, management of these aneurysms could be surgical or through endovascular techniques. We present a case of a superior gluteal artery pseudoaneurysm complicating a pelvic fracture that presented as a gluteal mass. It was successfully treated by transcatheter coil embolization. We review the presentation, imaging, and treatment options. Aneurysms have to be considered in the differential diagnosis of soft tissue masses, therefore lesion intervention by aspiration or needle biopsy should not be tried before ruling out a possible vascular nature which will easily be revealed by ultrasound Doppler or computed tomography scans.
臀动脉动脉瘤非常罕见,大多数为创伤后假性动脉瘤。一般来说,这些动脉瘤的治疗方法可以是手术治疗或采用血管内技术。我们报告一例臀上动脉假性动脉瘤合并骨盆骨折,表现为臀部肿块。通过经导管弹簧圈栓塞成功治疗。我们回顾了其临床表现、影像学表现及治疗选择。在软组织肿块的鉴别诊断中必须考虑动脉瘤,因此在排除可能的血管性质之前,不应尝试通过抽吸或针吸活检进行病变干预,而超声多普勒或计算机断层扫描很容易显示血管性质。