Groin and buttock claudication associated with vascular origin due to chronic occlusion of internal iliac artery: A case report

Chung, Hyun Mo; Kang, Sang Soo; Shin, Keun Man; Lee, Sang Hoon; Kim, Sung Eun; Yoo, Hong Seong

doi:2015.10.2.93

Anesth Pain Med > Volume 10(2); 2015 > Article

Case Report

Spinal Pain

Anesthesia and Pain Medicine 2015;10(2):93-96.
DOI: https://doi.org/10.17085/apm.2015.10.2.93 Published online April 30, 2015.

Groin and buttock claudication associated with vascular origin due to chronic occlusion of internal iliac artery: A case report

Hyun Mo Chung, Sang Soo Kang, Keun Man Shin, Sang Hoon Lee, Sung Eun Kim, Hong Seong Yoo

¹Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. kssege@naver.com
²Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
³Ire Pain Clinic, Incheon, Korea.

Received: 5 November 2014 • Revised: 1 December 2014 • Accepted: 28 December 2014

Abstract

Neurogenic and vascular claudication is sometimes difficult to distinguish from each other due to similarities in symptoms. Symptoms and physical examinations may not always match the severity in both diseases, and when atypical symptoms, such as groin pain, are present, diagnosis can be more challenging. Proper differential diagnosis of the two is important because of the invasiveness of treatment in both diseases. We report a rare case of a patient with severe groin and buttock pain due to chronic occlusion of the internal iliac artery, along with a review of the relevant literature.

Key Words: Claudication, Groin, Internal iliac artery, Pain