False aneurysm of the gluteal artery is uncommon and may develop secondary
to penetrating gluteal injury or pelvic trauma. The use of color Doppler so
nography may allow the initial diagnosis of gluteal pseudoaneurysms and pro
vide information about the success of the interventional radiological proce
dures. In this study, color Doppler sonographic examination demonstrated th
e failure of the endovascular treatment of a giant superior gluteal artery
pseudoaneurysm. The second intervention of super-selective coil embolizatio
n provided optimal thrombosis and eliminated the need for open surgery. (C)
2001 Elsevier Science Ltd. All rights reserved.