Management of an Iatrogenic Pseudoaneurysm of the Superior Gluteal Artery by Percutaneous Ultrasound-Guided Thrombin Injection: A Case Report

Ann Vasc Surg. 2017 Jan:38:317.e9-317.e11. doi: 10.1016/j.avsg.2016.05.123. Epub 2016 Aug 13.

Abstract

We report the unusual case of a pseudoaneurysm of the superior gluteal artery (SGA) as a complication of a bone marrow biopsy. A 75-year-old man presented with pain and swelling of the left buttock 1 month after a bone marrow biopsy of the left iliac crest. The patient was treated by percutaneous ultrasound-guided thrombin injection (UGTI). The procedure was successful without any complication and the patient was discharged at home the same day. Follow-up at 3 months after the procedure confirmed the complete thrombosis of the pseudoaneurysm sac. At the best of our knowledge, UGTI of a pseudoaneurysm of the SGA has never been reported since now in the English literature.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology
  • Aneurysm, False / therapy*
  • Arteries* / diagnostic imaging
  • Biopsy / adverse effects*
  • Bone Marrow Examination / adverse effects*
  • Buttocks / blood supply*
  • Computed Tomography Angiography
  • Humans
  • Iatrogenic Disease*
  • Injections, Intra-Arterial
  • Male
  • Thrombin / administration & dosage*
  • Treatment Outcome
  • Ultrasonography, Interventional*

Substances

  • Thrombin