Work

A case report of bilateral persistent sciatic artery with thrombosis in a 47-year-old woman: A rare vascular anomaly

Year: 2024

Type: article

Abstract: INTRODUCTION: The persistent sciatic artery (PSA) is a rare congenital vascular anomaly that arises when the embryonic axial artery fails to regress, potentially leading to serious complications such as limb ischemia. CASE PRESENTATION: We report the case of a 47-year-old woman with a history of essential hypertension and recent hormonal treatment for uterine fibroids. She developed acute limb ischemia due to bilateral PSA thrombosis, which was confirmed through comprehensive imaging. A multidisciplinary team implemented a management strategy that included anticoagulation therapy and close monitoring, resulting in significant improvement in her symptoms. CLINICAL DISCUSSION: The incidence of PSA thrombosis is low, estimated at around 0.04 % to 0.06 %, with bilateral involvement in approximately 30 % of cases. This case underscores the importance of individualized treatment plans and highlights the need for increased awareness and research into PSA to optimize clinical outcomes, particularly in resource-limited settings. CONCLUSION: This report emphasizes the critical role of early diagnosis and a tailored approach to management in patients with PSA.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2024.110791

Authors: Ahmad Hoseinzadeh, Hamid Zaferani Arani, Ali Tajaddini, Shekoofeh Rahimi, Fatemeh Mirparsa, Sedighe Hooshmandi

Institutions: Shiraz University, Shiraz University of Medical Sciences, Tehran University of Medical Sciences

Language: English

Topic: Vascular anomalies and interventions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,800