A Giant Pseudoaneurysm of the Gluteal Artery

AbstractAneurysms of the gluteal artery, true or false, are rare and usually follow pelvic fractures or penetrating trauma. We report on a case of a 77-year-old woman who developed a 16 cm large right gluteal aneurysm. Doppler ultrasound, CT scan and angiography confirmed the clinical diagnosis. The patient was successfully treated with endoaneurysmorrhaphy, after temporary clamping of the hypogastric artery using an extraperitoneal approach. In cases of very large gluteal aneurysms we believe that open surgical treatment is still preferable to endovascular procedures