Document Detail


3-year delayed presentation of femoral pseudoaneurysm following penetrating limb trauma.
MedLine Citation:
PMID:  25462544     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION: Delayed presentations of lower limb pseudoaneurysms secondary to penetrating trauma are particularly rare.
METHODS: Following presentation of this rare case report we review relevant published literature.
RESULTS: We report a rare case of a 55 year old man with a progressively enlarging mass measuring 15 cm by 15 cm on his right anteromedial thigh 3 years following penetrating trauma. CT angiogram revealed this to be a large pseudoaneurysm supplied by a side branch artery from the right superficial femoral artery. Using an open approach the pseudoanerysm was successfully repaired with the side branch oversewn and the patient made a good recovery being discharged from hospital 4 days later.
CONCLUSION: Surgeons must retain pseudoaneurysm as a prominent differential for a patient presenting with a progressively enlarging, expansile mass of an extremity following penetrating trauma in order to ensure urgent investigation and prompt vascular intervention. Both open surgical ablation and endovascular embolisation of pseudoaneurysms of the extremeties are effective techniques with low rates of complications and morbidity reported in published literature.
Authors:
J Butterworth; W A Butterworth; R Wu
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-11-13
Journal Detail:
Title:  Annals of vascular surgery     Volume:  -     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-12-2     Completed Date:  -     Revised Date:  2014-12-3    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 Elsevier Inc. All rights reserved.
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