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

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.