“…However, cases have been described of non-pulsatile gluteal artery pseudo-aneurysms which have been aspirated [ 11 ] or incised [ 12 ] with untoward consequences. These illustrations mandate the consideration of gluteal artery aneurysms as differential diagnosis of gluteal swellings which include lesions like gluteal abscesses (cold or pyogenic), lipomas, soft tissue sarcomas, sciatic hernia, Echinococcal cysts, cystic hygroma etc [ 11 ]. Diagnostic imaging options include duplex ultrasonography, computerized tomographic angiography (CTA), magnetic resonance angiography (MRA) and catheter-based angiography.…”