Glutealnekrose nach Ausschaltung eines rupturierten Iliakalaneurysmas

Chronic hypoperfusion of the hypogastric arteries due to aortoiliac surgery leads to a complex of symptoms well known as Lerich's syndome. In contrast, acute ischemia of the pelvic arterial tree leads to lethal complications [2, 4, 5, 9, 10, 12, 13]. Acute interruption of the hypogastric perfusion mainly occurs after aortoiliac surgery or after selective transcatheter embolisation of the internal iliac artery for control of pelvic bleeding [1, 8]. Several complications may occur after total occlusion: urinary bladder necrosis [6], left colon ischemia, spinal cord ischemia [10], nerve palsy, necrosis of the rectum and gluteal musculature [2, 11–13]. Despite adequate therapy, mortality is over 70% [2]. We report the case of a 66-year-old patient who survived after acute occlusion of the iliac arteries with gluteal necrosis following replacement of the infrarenal aorta with an aortobiiliacal graft.