Hessling K H, Szkandera J, Theron L
Department of Surgery, State Hospital, Windhoek, South West Africa/Namibia.
S Afr Med J. 1988 Feb 20;73(4):245-6.
A 57-year-old black man presented with a pulsatile gluteal mass and claudication. Angiography revealed a persistent sciatic artery to be the main arterial supply to the limb; this vessel had a false aneurysm caused by atherosclerotic rupture of its gluteal portion. It was successfully treated by excision and an autologous vein graft. A brief survey of this rare condition -- the embryology, and the angiographic and clinical features -- is given. The importance of recognising the symptoms is emphasised.
一名57岁黑人男性因搏动性臀肿块和跛行前来就诊。血管造影显示，坐骨动脉持续存在，是该肢体的主要动脉供血；该血管臀段因动脉粥样硬化破裂形成假性动脉瘤。通过切除和自体静脉移植成功治疗。本文简要概述了这种罕见病症——胚胎学、血管造影及临床特征，并强调了识别症状的重要性。
