A case report of bilateral persistent sciatic artery with thrombosis in a 47-year-old woman: A rare vascular anomaly.

INTRODUCTION

The persistent sciatic artery (PSA) is a rare congenital vascular anomaly that arises when the embryonic axial artery fails to regress, potentially leading to serious complications such as limb ischemia.

CASE PRESENTATION

We report the case of a 47-year-old woman with a history of essential hypertension and recent hormonal treatment for uterine fibroids. She developed acute limb ischemia due to bilateral PSA thrombosis, which was confirmed through comprehensive imaging. A multidisciplinary team implemented a management strategy that included anticoagulation therapy and close monitoring, resulting in significant improvement in her symptoms.

CLINICAL DISCUSSION

The incidence of PSA thrombosis is low, estimated at around 0.04 % to 0.06 %, with bilateral involvement in approximately 30 % of cases. This case underscores the importance of individualized treatment plans and highlights the need for increased awareness and research into PSA to optimize clinical outcomes, particularly in resource-limited settings.

CONCLUSION

This report emphasizes the critical role of early diagnosis and a tailored approach to management in patients with PSA.