Question

A 30-year-old man is presented with cramping gluteal pain after walking 500 m. Which is the vessel involved during this ?

• A. Arterial disease with aortoiliac involvement
• B. Arterial disease with femoral artery involvement
• C. Femoral venous insufficiency
• D. None

Answer 1

The Correct Option is A

The condition described in the question is indicative of claudication, specifically affecting the gluteal muscles. Claudication is a symptom of peripheral artery disease, characterized by pain or cramping in the legs or buttocks due to inadequate blood supply that is often exacerbated by physical activity such as walking.

In this case, the key detail is the location of the pain—gluteal pain—which typically suggests a blockage or narrowing of arteries higher up in the circulatory system, often involving the aortoiliac segments. These vessels supply blood to the pelvis and gluteal region. When these arteries are compromised, it leads to insufficient blood flow during activities such as walking, causing pain in the corresponding areas.

The correct interpretation in anatomical and physiological terms is that an aortoiliac arterial disease is responsible for the presented symptoms. This fits the scenario where a 30-year-old individual experiences gluteal pain after walking a certain distance, as this type of condition directly affects the blood supply to the pelvis and subsequently the gluteal region.

Thus, the most appropriate vessel involvement is arterial disease with aortoiliac involvement.