PMC8313107_01
PMC8313107_02
Swelling of the left gluteal region with 2cm cutaneous necrosis at the superior part of the left gluteal region.
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Also, a 2 cm cutaneous necrosis at the superior part of the left gluteal region was noticed along with a splitting of surgical suture lines (Figure 1).
Axial CT scan showing voluminous hematoma infiltrating the gluteal muscles.
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We carried out a CT angiography of the aorta and the lower limbs that showed a voluminous hematoma infiltrating the gluteal muscles (Figure 2).
CT scan reconstruction showing pseudoaneurysm of the inferior gluteal artery (blue arrow).
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The CT also detected a 2 cm diameter pseudoaneurysm of the inferior gluteal artery situated between the quadratus femoris muscle and the gluteus maximus muscle (Figure 3).
Angiography of the left internal iliac artery by a Bernstein catheter showing a pseudoaneurysm of the gluteal artery (red arrow).
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The first angiogram confirmed the diagnosis of pseudoaneurysm of the gluteal artery (Figure 4).
Superselective catheterization of the gluteal artery and occlusion of this latter by detachable coils.
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After a selective catheterization of this latter, we deployed five 4 mm detachable coils allowing for the embolization of the gluteal artery (Figure 5).
Preoperative image in prone position of the buttock showing a huge hematoma with muscle necrosis.
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He then had a gluteal hematoma evacuation, with a large debridement of the necrotic muscle fibres (Figure 6).