Hybrid Management of a Pseudoaneurysm of the Inferior Gluteal Artery Following a Stab Wound

Imtinene Ben Mrad,1 Ramy Ben Salah,2 Melek Ben Mrad,3 Rim Miri,3 Anis Haddad,4 Sobhi Mleyhi,3 Ihsen Zairi,1 Khalil Hamza,5 Mariem Jrad,5 Raouf Denguir3 1Cardiology Department, Hbib Thameur Hospital, Tunis, Tunisia; 2Plastic Surgery Department, Bizerte Hospital, Tunis, Tunisia; 3Cardiovascular Surgery Department, Rabta Hospital, Tunis, Tunisia; 4General Surgery Department, Rabta Hospital, Tunis, Tunisia; 5Radiology Department, Charles Nicolle Hospital, Tunis, TunisiaCorrespondence: Melek Ben MradCardiovascular Surgery Department, Rabta Hospital, App 2b, Bloc 12, Cite Olympique, Tunis 1003, TunisiaTel +21655657116Email benmradmelek@yahoo.frAbstract: Aneurysms and pseudoaneurysms of the gluteal artery are rare. They represent less than 1% of the described arterial aneurysms. Those that touch the inferior gluteal artery are even rarer. Only a few cases have been described worldwide. Such cases often present with a variable time course, mode of injury, and associated symptoms, leading to their misdiagnosis and improper treatment. We present the case of a 30-year-old male, who presented to our emergency room one week after a stab wound in the left gluteal region causing a pseudoaneurysm of the left inferior gluteal artery with a sciatic compartment syndrome treated by a hybrid approach.Keywords: pseudoaneurysm, inferior gluteal artery, stab wound, embolization, sciatic nerve