Superior Gluteal Artery Pseudoaneurysm Following a Minor Ground-Level Traumatic Fall.

Pseudoaneurysms of the superior gluteal artery (SGA) are exceedingly rare, especially following minor trauma. This case report presents a 51-year-old male with a history of aortic valve replacement and daily antiplatelet therapy who developed a pseudoaneurysm of the SGA following a ground-level fall. Due to its subclinical presentation, the patient was initially diagnosed with a hematoma of the right gluteus, which failed to resolve and became symptomatic after six months. During an initial attempt to evacuate the presumed hematoma, an intraoperative hemorrhage led to the discovery of the pseudoaneurysm and required prompt embolization. This case report underscores the importance of considering vascular injury, even after a minor trauma, particularly in patients on antiplatelet therapy. In such patients, a higher index of suspicion might be required for early recognition and appropriate interventions to prevent such life-threatening complications.