Persistent Sciatic Artery (PCA): A Case Report
DOI:
https://doi.org/10.36557/2674-8169.2025v7n2p492-504Keywords:
Sciatic Artery, Ischatic Artery, Persistent, Sciatic Neuralgia, AneurysmAbstract
Persistent Sciatic Artery (PSA) is a rare anatomical variant in which the sciatic arteries did not regress during embryonic development, resulting in a direct continuation of the internal iliac artery. This condition may remain asymptomatic for a long period, but may manifest as sciatic neuralgia or, in more severe cases, degenerate into an aneurysm, presenting as a pulsatile mass in the gluteal region or leading to thrombosis and distal embolism with ischemia. The scientific work in question deals with a case report of a female patient, 74 years old, resident in the city of Guarujá, diagnosed with Persistent Sciatic Artery (PSA) on the right, during a Vascular Ultrasound examination with Doppler due to pain in the right lower limb.
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Van Hooft, I. M., Zeebregts, C. J., Van Sterkenburg, S. M., De Vries, W. R., & Reijnen, M. M., The Persistent Sciatic Artery. European Journal Of Vascular And Endovascular Surgery: The Official Journal Of The European Society For Vascular Surgery, Volume 37, Issue 5,May 2009, Pages 585–591.
Costa, D. R., Fidelis, R. J. R., Dos Santos, V. P., Fidelis, C., Alves, C. A. S., & De Araújo, J. S., Filho (2018). Aneurisma Da Artéria Isquiática Persistente: Relato De Caso De Tratamento Endovascular. Jornal Vascular Brasileiro, Jan-Mar 17, P. 49–54.
Kim H O, Cho Y S , Lim H, Persistent Sciatic Artery With Monoplegia In Right Lower Leg Without Vascular Complication Symptoms In An Obese Woman, The Journal Of Emergencymedicine Volume 34, Issue 3, April 2008, Pages 291-294.
Felipe Sainz González, Álvaro Sánchez Galán, Alejandro Lorente, Pablo Palacios, Persistent Sciatic Artery: A Case Report And Literature Review, Neurocirugía (English Edition), Volume 33, Issue 5, September–October 2022, Pages 254-257.
Omer, A., Alkadumi, M., Jupalli, S., & Dobtsis, J., Persistent Sciatic Artery An Incidental Finding. Radiology Case Reports, 16(7), Jul 2021, Pages 1745–1748.
Shelby K. Brantley, Edward E. Rigdon, Seshadri Raju., Persistent Sciatic Artery: Embryology, Pathology, And Treatment. Journal Of Vascular Surgery., Volume 18, Issue 2, August 1993, P 242-248.
Knight, B. C., & Tait, W. F., Massive Aneurysm In A Persistent Sciatic Artery. Annals Of Vascular Surgery, Volume 24, Issue 8, November 2010, P1135.E13-1135.E18.
Green PH. On a new variety of the femoral artery. Lancet 1832; 1:730-731.
Almadani HK. Persistent sciatic artery resembles a soft-tissue sarcoma in presentation. BMJ Case Rep. 2019;12(1):e227250. Published 2019 Jan 29. doi:10.1136/bcr-2018-227250.
Ahn S, Min SK, Min SI, et al. Treatment Strategy for Persistent Sciatic Artery and Novel Classification Reflecting Anatomic Status. Eur J Vasc Endovasc Surg. 2016;52(3):360-369. doi:10.1016/j.ejvs.2016.05.007.
Ishida K, Imamaki M, Ishida A, Shimura H, Miyazaki M. A ruptured aneurysm in persistent sciatic artery: a case report. J Vasc Surg. 2005;42(3):556-558. doi: 10.1016/j.jvs.2005.04.031.
Sinha, M., Pandey, N. N., Rajagopal, R., & Jagia, P. (2020). Bilateral persistent sciatic arteries: a rare anatomical variant. BMJ case reports, 13(2), e233742. https://doi.org/10.1136/bcr-2019-233742
Brantley, S. K., Rigdon, E. E., & Raju, S. (1993). Persistent sciatic artery: embryology, pathology, and treatment. Journal of vascular surgery, 18(2), 242–248.
Pillet, J., Albaret, P., Toulemonde, J. L., Cronier, P., Raimbeau, G., & Chevalier, J. M. (1980). Tronc artériel ischio-poplité, persistance de l'artère axiale [Ischio-popliteal artery trunk, persistence of the axial artery]. Bulletin de l'Association des anatomistes, 64(184), 97–110.
Gauffre, S., Lasjaunias, P., & Zerah, M. (1994). Sciatic artery: a case, review of literature and attempt of systemization. Surgical and radiologic anatomy: SRA, 16(1), 105–109. https://doi.org/10.1007/BF01627932
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Copyright (c) 2025 Israel Nascimento dos Santos, Erica Patricio Nardino, Isadora Damasceno Queiroz, João Arthur Botolli Gonzaga , Vitor de Arruda Moura Pietrowski , Marcelo Martinez Spanó
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