Peristent sciatic artery

Case contributed by Dr Ian Bickle

Presentation

Chronic pelvic pain. Hysterectomy for non malignant indication.

Patient Data

Age: 40 years
Gender: Female
CT

Enlarged persistent left sciatic artery arising from the internal iliac artery passing through the greater sciatic foramen deep to gluteus maximus and posterior to the femoral neck.

Normal appearances of the liver, spleen, adrenals, pancreas and both kidneys.
No lymphadenopathy. No ascites. No peritoneal masses.

Hysterectomy. No pelvic mass.

No destructive bony lesions demonstrated. The lung bases are unremarkable.

Case Discussion

A persistent sciatic artery is frequently an incidental finding.  It may present after middle age with neurovascular symptomatology.

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Case information

rID: 78008
Published: 3rd Jun 2020
Last edited: 20th Dec 2020
System: Vascular
Inclusion in quiz mode: Included

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