Vol. 59, No. 12, December 2009 855 Case Report Superior Gluteal Artery Aneurysm Zeeshan Arshad, Gulfam Khan, Saad Akhtar Khan, Wahid Anwer, Khalid Hameed, Mustafa Shoaib Department of Surgery, Ziauddin University Hospital, Karachi. Abstract To report the successful coil embolization of a rare gluteal artery aneurysm and review therapeutic options for this rare condition. We report a case of pseudo-aneurysm of superior gluteal artery initially diagnosed as gluteal abscess. They can be diagnosed by Doppler ultrasound, computed tomography or magnetic resonance imaging. Mainstay of the diagnosis is by angiography and the preferred management with good clinical results is with angiographic embolization. This report reviews the literature and addresses the incidence, aetiology, and treatment of gluteal artery aneurysms. Introduction The true frequency of gluteal artery aneurysms is unknown and symptomatic gluteal artery aneurysms are extremely rare. Gluteal artery injury is uncommon and the injury of the inferior branch (IGA) is rarer than that of the superior branch (SGA) and is found more often on the left versus on right side and men are more commonly affected than women. 1-3 In past 30 years, 22 cases of traumatic IGA injury have been reported in the world literature. There were 16 cases due to sharp injury, 5 cases due to blunt injury including 4 cases traumatic injury. All patients survived including the one case suffering massive blood loss due to delayed diagnosis and treatment. 4 The vast majority of gluteal artery aneurysms are infact pseudoaneurysms resulting from local trauma or iatrogenic causes. 3,5-7 Case Report A 32-year-old young male, non smoker, with no