• Internal medicine · May 2022

    An Infected Massive Persistent Sciatic Artery Aneurysm Treated by an Aneurysmal Incision and Drainage after Angiographic Embolization.

    • Shun Yamashita, Masaki Tago, Yoshinori Tokushima, Hidetoshi Aihara, Go Takeshita, Kazuya Fujiki, Motoshi Fujiwara, and Shu-Ichi Yamashita.
    • Department of General Medicine, Saga University Hospital, Japan.
    • Intern. Med. 2022 May 1; 61 (9): 144714521447-1452.

    AbstractA man in his 80s undergoing chronic hemodialysis presented with a high fever. A 10-cm soft mass was palpable in his right buttock. Abdominal computed tomography and angiography showed an incomplete-type unilateral persistent sciatic artery aneurysm (PSAA) with gas patterns and a blood flow through the aneurysm. Incision drainage was performed after arterial embolization. Gram staining of the hematoma showed gram-positive cocci that had formed chains, thus leading to a diagnosis of an infected PSAA. Drainage by incision after arterial embolization was used as the therapeutic method of choice for a massive infected PSAA with a sustained blood flow in order to prevent sciatic nerve injury and bleeding associated with PSAA resection.

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