Bilateral Persistent Sciatic Artery With Unilateral Thrombosis: A Rare Case of Acute Limb Ischemia Successfully Managed With Endovascular Intervention.
Hamza A Abdul-Hafez, Alaa Zayed, Kaser Abbas et al.
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Case in brief
A 49-year-old female presented with acute limb ischemia in her left lower limb. Imaging revealed bilateral persistent sciatic arteries, with thrombosis affecting only the left side. The patient underwent successful endovascular balloon angioplasty and percutaneous thrombectomy, leading to resolution of her symptoms. This case highlights the importance of timely intervention in managing complications associated with this vascular anomaly.
What made this case unusual
The case features bilateral persistent sciatic arteries with unilateral thrombosis, which is a rare presentation of this congenital vascular anomaly.
Diagnostic / clinical pearl
Clinicians should consider persistent sciatic artery as a potential cause of acute limb ischemia, especially in cases with atypical vascular presentations.
Why it matters
Understanding the implications of congenital vascular anomalies like the persistent sciatic artery can guide timely diagnosis and intervention, reducing the risk of severe complications.