Assefa Rahel Abebayehu, Zeleke Henok T/Silassie, Aboye Azmera Gissila
Department of Surgery, St. Peter's Specialized Hospital, Addis Ababa, Ethiopia.
Department of Surgery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
J Surg Case Rep. 2024 Aug 7;2024(8):rjae474. doi: 10.1093/jscr/rjae474. eCollection 2024 Aug.
Persistent sciatic artery (PSA) is a rare congenital vascular anomaly resulting from embryologic axial artery malformation in the lower limb. This case report presents three patients aged 45-60, each with bilateral PSA presenting with symptoms indicative of PSA complications, including aneurysmal degeneration, limb ischemia, thromboembolism, or neuralgia from nerve compression. It highlights the diagnostic process, management strategies, and clinical outcomes observed at a tertiary referral hospital. Treatment involved a collaborative, multidisciplinary approach with vascular surgeons, internists, and radiologists tailoring interventions to individual patient findings and disease progression. This report aims to provide insights into the diverse presentations and management of PSA in a resource limited setting, encouraging further reporting and case studies to enhance understanding of therapeutic outcomes.
持续性坐骨动脉（PSA）是一种罕见的先天性血管异常，由下肢胚胎轴动脉畸形引起。本病例报告介绍了3例年龄在45至60岁之间的患者，每例均为双侧PSA，伴有PSA并发症的症状，包括动脉瘤样退变、肢体缺血、血栓栓塞或神经受压引起的神经痛。它突出了在一家三级转诊医院观察到的诊断过程、管理策略和临床结果。治疗采用了协作性多学科方法，血管外科医生、内科医生和放射科医生根据个体患者的检查结果和疾病进展调整干预措施。本报告旨在深入了解资源有限环境下PSA的多样表现和管理，鼓励进一步报告和病例研究，以增进对治疗结果的理解。
