Bilateral Persistent Sciatic Arteries Complicated with Aneurysmal Dilatation and Thrombotic Occlusion: A Case Report
Persistent sciatic artery (PSA), a rare congenital vascular anomaly, increases susceptibility to aneurysms and accounts for 40–61% of the cases. Here, we describe a case of PSA in a 70-yearold man with a history of alcoholic liver cirrhosis. Bilateral complete PSAs were detected incidentally on c...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2020-11-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2020.0029 |
| Summary: | Persistent sciatic artery (PSA), a rare congenital vascular anomaly, increases susceptibility to
aneurysms and accounts for 40–61% of the cases. Here, we describe a case of PSA in a 70-yearold
man with a history of alcoholic liver cirrhosis. Bilateral complete PSAs were detected incidentally
on computed tomography angiography during evaluation for spontaneous intramuscular
bleeding in the thigh due to cirrhosis-related coagulopathy. Selective angiography of the
left PSA revealed aneurysmal dilatation and thrombotic occlusion of the PSA, which was partially
removed with aspiration thrombectomy. Intramuscular bleeding was succesfully managed
with empirical embolization of the deep femoral artery. |
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| ISSN: | 1738-2637 2288-2928 |