case_images: PMC6201630_01
case_images: Femoral angiogram: blue arrow = internal iliac artery, red arrow = external iliac artery, green arrow = lateral sacral artery
case_images: PAMJ-30-135-g001.jpg
case_images: PMC6201630_01_PAMJ-30-135-g001.jpg
case_images: f0001
case_images: Femoral angiography revealed a fusiform 12 x 8cm aneurysm of the superior gluteal artery (SGA) with a wide neck which would prove difficult to embolize with the available coils (Figure 1, Figure 2).
case_images: Red arrows = superior gluteal aneurysm, blue arrow: proximal neck, green arrow = distal neck, white arrow = angio catheter
case_images: PAMJ-30-135-g002.jpg
case_images: PMC6201630_01_PAMJ-30-135-g002.jpg
case_images: f0002
case_images: Femoral angiography revealed a fusiform 12 x 8cm aneurysm of the superior gluteal artery (SGA) with a wide neck which would prove difficult to embolize with the available coils (Figure 1, Figure 2).
case_images: Mobilization of the aneurysm via the gluteal incision; black arrow = aneurysm
case_images: PAMJ-30-135-g003.jpg
case_images: PMC6201630_01_PAMJ-30-135-g003.jpg
case_images: f0003
case_images: Artery was obtained via an extraperitoneal groin incision before a gluteal incision was made to mobilize the gluteus maximus muscle. A true fusiform 12 x 8cm SGA aneurysm was found under the muscle which was firmly adherent to and stretching the sciatic nerve (Figure 3, Figure 4).
case_images: Green arrow showing fully mobilized aneurysm
case_images: PAMJ-30-135-g004.jpg
case_images: PMC6201630_01_PAMJ-30-135-g004.jpg
case_images: f0004
case_images: Artery was obtained via an extraperitoneal groin incision before a gluteal incision was made to mobilize the gluteus maximus muscle. A true fusiform 12 x 8cm SGA aneurysm was found under the muscle which was firmly adherent to and stretching the sciatic nerve (Figure 3, Figure 4).
case_images: Incision of the aneurysm and evacuation of thrombus
case_images: PAMJ-30-135-g005.jpg
case_images: PMC6201630_01_PAMJ-30-135-g005.jpg
case_images: f0005
case_images: It contained a huge thrombus (Figure 5).
case_images: Incision being closed
case_images: PAMJ-30-135-g006.jpg
case_images: PMC6201630_01_PAMJ-30-135-g006.jpg
case_images: f0006
case_images: The wound was closed in layers (Figure 6).