A Rare Case of Superior Gluteal Artery Pseudo Aneurysm after Blunt Trauma

Prilozi Pub Date : 2019-10-01 DOI:10.2478/prilozi-2019-0020
Sime Trpeski, Marija Mihajlova Ilieva, Nina Apostolovska, A. Andonovski, Andreja Gavrilovski, N. Pop-Jordanova
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Abstract

Abstract Prevailing over in rotationally unstable pelvic fractures, acetabular fractures or hip dislocations, superior gluteal artery pseudo aneurysm imperceptibly could be found after blunt force trauma of the pelvic region. We present a case of superior gluteal artery pseudo aneurysm after blunt force trauma that became gradually symptomatic in two months following the prime malevolence. Non-resolving gluteal hematoma presented two months after the incident, disregarding standard treatment methods led the diagnosis to plausible entity of pseudo aneurysm. Standard protocol was followed. CT angiography was indicated and it confirmed the suspected diagnosis. Upon indication a treatment plan was established with correspondent angioembolization of the pathologic substrate. Pseudo aneurism of the superior gluteal artery should be considered as differential diagnosis for unexplained hematomas in the posterior pelvic region following a trauma regardless of its nature.
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钝性创伤后臀上动脉假性动脉瘤1例
臀上动脉假性动脉瘤常见于旋转不稳定型骨盆骨折、髋臼骨折或髋关节脱位中,在骨盆钝力损伤后可在不知不觉中发现。我们提出一个病例的臀上动脉假性动脉瘤钝力创伤后,逐渐成为症状在两个月后,主要的恶性。未解决的臀血肿出现两个月后的事件,无视标准的治疗方法导致诊断似是假动脉瘤的实体。遵循标准程序。CT血管造影证实了疑似诊断。根据适应症,制定了相应的病理基质血管栓塞治疗计划。对于创伤后骨盆区不明原因血肿,无论其性质如何,臀上动脉假性动脉瘤都应被视为鉴别诊断。
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