Bilateral persistent sciatic arteries complicated by a unilateral aneurysm: A case report

First described by Green in 1832, persistent sciatic artery (PSA) is a rare anomaly classified into 2 types, namely complete and incomplete. We report the case of bilateral PSAs diagnosed by computed tomography angiography (CTA) in a 45-year-old female who presented with a 2-week history of pain and...

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Main Authors: Aljawhara R. Alsaadoun, MBBS, Wafa F. Aldhafeeri, MBBS, Eman A. Almomen, MBBS, EDiR, Obaid M. Aldhafeeri, MBBS, MD
Format: Article
Language:English
Published: Elsevier 2020-08-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043320302089
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author Aljawhara R. Alsaadoun, MBBS
Wafa F. Aldhafeeri, MBBS
Eman A. Almomen, MBBS, EDiR
Obaid M. Aldhafeeri, MBBS, MD
author_facet Aljawhara R. Alsaadoun, MBBS
Wafa F. Aldhafeeri, MBBS
Eman A. Almomen, MBBS, EDiR
Obaid M. Aldhafeeri, MBBS, MD
author_sort Aljawhara R. Alsaadoun, MBBS
collection DOAJ
description First described by Green in 1832, persistent sciatic artery (PSA) is a rare anomaly classified into 2 types, namely complete and incomplete. We report the case of bilateral PSAs diagnosed by computed tomography angiography (CTA) in a 45-year-old female who presented with a 2-week history of pain and numbness in the left lower limb. Specifically, the CTA showed an incomplete PSA of the right lower limb and a complete PSA of the left lower limb complicated by an aneurysm. Complications of PSA, including aneurysmal rupture, occlusive thrombosis, and distal embolization, are critical as they impose serious hazards to the viability of the lower limbs. Asymptomatic patients with PSA require close surveillance for early detection and proper management of PSA-related complications, as they are prone to early atheromatous degeneration and aneurysm formation.
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spelling doaj.art-90ab2734b62f47d6924c7dababddf00b2022-12-21T23:44:14ZengElsevierRadiology Case Reports1930-04332020-08-0115813541358Bilateral persistent sciatic arteries complicated by a unilateral aneurysm: A case reportAljawhara R. Alsaadoun, MBBS0Wafa F. Aldhafeeri, MBBS1Eman A. Almomen, MBBS, EDiR2Obaid M. Aldhafeeri, MBBS, MD3College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi Arabia; Corresponding author.College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi ArabiaDepartment of Radiology, Dammam Central Hospital, Ministry of Health, Dammam, Saudi ArabiaDepartment of Radiology, Dammam Central Hospital, Ministry of Health, Dammam, Saudi ArabiaFirst described by Green in 1832, persistent sciatic artery (PSA) is a rare anomaly classified into 2 types, namely complete and incomplete. We report the case of bilateral PSAs diagnosed by computed tomography angiography (CTA) in a 45-year-old female who presented with a 2-week history of pain and numbness in the left lower limb. Specifically, the CTA showed an incomplete PSA of the right lower limb and a complete PSA of the left lower limb complicated by an aneurysm. Complications of PSA, including aneurysmal rupture, occlusive thrombosis, and distal embolization, are critical as they impose serious hazards to the viability of the lower limbs. Asymptomatic patients with PSA require close surveillance for early detection and proper management of PSA-related complications, as they are prone to early atheromatous degeneration and aneurysm formation.http://www.sciencedirect.com/science/article/pii/S1930043320302089Persistent Sciatic ArteryBilateral Persistent Sciatic ArteryVascular AnomalyComplicationsAneurysm
spellingShingle Aljawhara R. Alsaadoun, MBBS
Wafa F. Aldhafeeri, MBBS
Eman A. Almomen, MBBS, EDiR
Obaid M. Aldhafeeri, MBBS, MD
Bilateral persistent sciatic arteries complicated by a unilateral aneurysm: A case report
Radiology Case Reports
Persistent Sciatic Artery
Bilateral Persistent Sciatic Artery
Vascular Anomaly
Complications
Aneurysm
title Bilateral persistent sciatic arteries complicated by a unilateral aneurysm: A case report
title_full Bilateral persistent sciatic arteries complicated by a unilateral aneurysm: A case report
title_fullStr Bilateral persistent sciatic arteries complicated by a unilateral aneurysm: A case report
title_full_unstemmed Bilateral persistent sciatic arteries complicated by a unilateral aneurysm: A case report
title_short Bilateral persistent sciatic arteries complicated by a unilateral aneurysm: A case report
title_sort bilateral persistent sciatic arteries complicated by a unilateral aneurysm a case report
topic Persistent Sciatic Artery
Bilateral Persistent Sciatic Artery
Vascular Anomaly
Complications
Aneurysm
url http://www.sciencedirect.com/science/article/pii/S1930043320302089
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