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

Ahmad Hoseinzadeh; Hamid Zaferani Arani; Ali Tajaddini; Shekoofeh Rahimi; Fatemeh Mirparsa; Sedighe Hooshmandi

doi:10.1016/j.ijscr.2024.110791

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

Int J Surg Case Rep. 2024 Dec 26:126:110791. doi: 10.1016/j.ijscr.2024.110791. Online ahead of print.

Authors

Ahmad Hoseinzadeh¹, Hamid Zaferani Arani¹, Ali Tajaddini¹, Shekoofeh Rahimi¹, Fatemeh Mirparsa², Sedighe Hooshmandi³

Affiliations

¹ Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
² Department of Health Policy, Faculty of Health, Scientific Pole of Health Sciences Education, Tehran Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.
³ Medical Imaging Research Center, Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: drshoshmandi@gmail.com.

PMID: 39731803
DOI: 10.1016/j.ijscr.2024.110791

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.

Keywords: Case report; Persistent sciatic artery (PSA); Thrombosis; Vascular anomaly.

Publication types

Case Reports