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持续性坐骨动脉——一项偶然发现。

Persistent sciatic artery an incidental finding.

作者信息

Omer Adil, Alkadumi Maitham, Jupalli Sandhya, Dobtsis Joseph

机构信息

Department of Radiology, NYC Health + Hospitals | Harlem, New York, USA.

出版信息

Radiol Case Rep. 2021 May 3;16(7):1745-1748. doi: 10.1016/j.radcr.2021.03.057. eCollection 2021 Jul.

DOI:10.1016/j.radcr.2021.03.057
PMID:34035873
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8138860/
Abstract

Persistent sciatic artery is a direct continuation of the internal iliac artery. It is a rare anatomic variant where the sciatic artery does not regress during fetal development. We present a case of a 43-year-old male with a right leg ulcer who has an incidental finding of persistent sciatic artery on Computed Tomography (CT) of the thigh with Intravenous (IV) contrast to evaluate for abscess formation. A major complication seen in some patients with persistent sciatic artery is aneurysm formation which predispose patients to limb-threatening thromboembolism. Asymptomatic cases such as this case require no intervention apart from follow up.

摘要

持续性坐骨动脉是髂内动脉的直接延续。它是一种罕见的解剖变异,即在胎儿发育过程中坐骨动脉不会退化。我们报告一例43岁男性患者,其右腿溃疡,在进行大腿计算机断层扫描(CT)并静脉注射(IV)造影剂以评估脓肿形成时偶然发现持续性坐骨动脉。一些持续性坐骨动脉患者中可见的主要并发症是动脉瘤形成,这使患者易发生危及肢体的血栓栓塞。像该病例这样的无症状病例,除了随访外无需干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d1/8138860/19a6869acd35/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d1/8138860/5feab26fe301/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d1/8138860/19a6869acd35/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d1/8138860/5feab26fe301/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d1/8138860/19a6869acd35/gr2.jpg

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本文引用的文献

1
Bilateral persistent sciatic artery in a 77-year-old woman: A case report.一名77岁女性的双侧持续性坐骨动脉:病例报告。
Radiol Case Rep. 2021 Jan 5;16(3):638-641. doi: 10.1016/j.radcr.2020.12.057. eCollection 2021 Mar.
2
Bilateral persistent sciatic arteries complicated by a unilateral aneurysm: A case report.双侧持续性坐骨动脉合并单侧动脉瘤:一例报告。
Radiol Case Rep. 2020 Jun 28;15(8):1354-1358. doi: 10.1016/j.radcr.2020.05.037. eCollection 2020 Aug.
3
Bilateral persistent sciatic arteries: a rare anatomical variant.
CT 显示第四腰椎动脉延续于髂总动脉,呈腰后突型。
Surg Radiol Anat. 2023 Dec;45(12):1545-1550. doi: 10.1007/s00276-023-03252-2. Epub 2023 Oct 23.
双侧持续性坐骨动脉:一种罕见的解剖变异。
BMJ Case Rep. 2020 Feb 18;13(2):e233742. doi: 10.1136/bcr-2019-233742.
4
Persistent sciatic artery found incidentally on hip MRI: report of 4 cases.髋关节MRI偶然发现的持续性坐骨动脉:4例报告
Radiol Case Rep. 2017 Jun 10;12(3):577-584. doi: 10.1016/j.radcr.2017.04.015. eCollection 2017 Sep.
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The persistent sciatic artery.持续性坐骨动脉。
Eur J Vasc Endovasc Surg. 2009 May;37(5):585-91. doi: 10.1016/j.ejvs.2009.01.014. Epub 2009 Feb 20.
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Persistent sciatic artery. Radiologic features and patient management.持续性坐骨动脉。放射学特征及患者管理。
Saudi Med J. 2006 May;27(5):721-4.
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Persistent sciatic artery: embryology, pathology, and treatment.持续性坐骨动脉:胚胎学、病理学及治疗
J Vasc Surg. 1993 Aug;18(2):242-8.
8
Sciatic artery: a case, review of literature and attempt of systemization.坐骨动脉:1例病例、文献综述及系统化尝试
Surg Radiol Anat. 1994;16(1):105-9. doi: 10.1007/BF01627932.