Ruptured superior gluteal artery pseudoaneurysm with hemorrhagic shock: Case report

Kerem Seref Corbacioglu; Gokhan Aksel; Altan Yildiz

doi:10.1016/j.tjem.2015.10.002

Kerem Seref Corbacioglu¹, Gokhan Aksel², Altan Yildiz³

¹Kecioren Training and Research Hospital, Department of Emergency Medicine, Ankara, Turkey
²Umraniye Training and Research Hospital, Department of Emergency Medicine, Istanbul, Turkey
³Tarsus Medikal Park Hospital, Radiology Department, Mersin, Turkey

Keywords: Pseudoaneurysm; Superior gluteal artery; Pitfall; Angiography

Abstract

Pseudoaneurysm of the superior gluteal artery (SGA) is very rare and the most common causes are blunt or penetrating pelvic traumas. Although pseudoaneurysm can be asymptomatic at the time of initial trauma, it can be symptomatic weeks, months, even years after initial trauma. We present a case of a ruptured superior gluteal artery pseudoaneurysm with hemorrhagic shock twenty days after a bomb injury in the Syria civil war. In addition, we review the anatomy of the SGA, clinical presentation and pitfalls of pseudoaneurysm, and imaging and treatment options.