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Vol. 33. Issue 5.
Pages 254-257 (September - October 2022)
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Vol. 33. Issue 5.
Pages 254-257 (September - October 2022)
Case Report
Persistent sciatic artery: A case report and literature review
Ciática extrarraquídea: caso clínico y revisión de la literatura
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Felipe Sainz Gonzáleza,b, Álvaro Sánchez Galánb, Alejandro Lorentec,
Corresponding author
rafaalelorente@hotmail.com

Corresponding author.
, Pablo Palaciosd
a Angiología y Cirugía Vascular, Hospitales Universitarios Gómez Ulla, Madrid, Spain
b Angiología y Cirugía Vascular, Hospital de Sanchinarro, HM Hospitales, Madrid, Spain
c Departamento de Traumatología y Cirugía Ortopédica, Hospital Universitario Ramón y Cajal, Madrid, Spain
d Departamento de Traumatología y Cirugía Ortopédica, Hospital Universitario Madrid Sanchinarro, Madrid, Spain
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Abstract

The persistent sciatic artery is an uncommon disease, considered an axial congenital vascular malformation due to the lack of involution of the sciatic artery during embryonic development. It may be associated with abnormalities in the development of the iliac, common femoral and superficial femoral arteries. Patients may be asymptomatic, or they could present chronic pain, such as sciatic neuralgia, caused by nerve damage, since it is close to the abnormal persistent vessel, or due to ischemic pain, as a result of a thrombosis or embolism of an aneurysm, which could compromise the viability of the limb.

Keywords:
Persistent sciatic artery
Sciatic neuralgia
Sciatic aneurysm
Ischemia
Resumen

La arteria ciática persistente es una entidad poco frecuente, considerada como una malformación vascular congénita de tipo axial por falta de involución de la arteria ciática durante el desarrollo embrionario. Puede, o no, asociarse con alteraciones en el desarrollo de las arterias iliaca, femoral común y/o femoral superficial. Clínicamente los pacientes pueden ser asintomáticos, o pueden manifestar un dolor crónico tipo neuralgia ciática, por irritación nerviosa, al estar contigüidad con el vaso anómalamente persistente, o por dolor isquémico, al sufrir trombosis de un aneurisma que con relativa frecuencia suele desarrollarse en este vaso anómalamente persistente, o por embolia arterial distal, pudiendo llegar a comprometer la viabilidad de la extremidad.

Palabras clave:
Arteria ciática persistente
Neuralgia ciática
Aneurisma ciático
Isquemia

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