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December 1965

Gluteal Aneurysm

Author Affiliations

From the departments of surgery, neurosurgery, and medicine of the Washington Hospital Center.

Arch Surg. 1965;91(6):1014-1020. doi:10.1001/archsurg.1965.01320180148031

GLUTEALaneurysm is an unusual condition, probably accounting for less than 1% of all aneurysms.1 In spite of this, it has been discussed frequently in the surgical literature since it was first treated with success in 1803 by William Stokes of Dublin. Stokes reported that he treated "a 34-year-old plethoric man," who had an "orange sized" gluteal aneurysm, by "direct compression of the aneurysm, vegetarian diet, digitalis and laxatives," and pronounced the patient cured in 14 days.2

It is something of a paradox that except for the very comprehensive review of Hultborn and Kjellman in 1963,3 little had been written on this subject during the recent years of rapid advances in vascular surgery; most of the relevant articles are in fact 20 or more years old. Possibly this is because there may be little new to say about a surgical problem that was thoroughly understood and handled with