Document Detail

Profunda femoris artery pseudoaneurysm presenting with triad of thigh swelling, bleeding and anaemia.
MedLine Citation:
PMID:  15098647     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: We describe an alternative presentation of 2 cases of femur fractures with pseudoaneurysms of the profunda femoris artery. CLINICAL PICTURE: In both cases, there is a recurrent triad of: (1) thigh swelling, (2) bleeding from the fasciotomy wound, and (3) anaemia with a falling haemoglobin trend. TREATMENT: Surgical exploration is often not diagnostic or therapeutic. Angiography can accurately diagnose the presence of a pseudoaneurysm and intervention with coil embolisation is effective in arresting further bleeding. OUTCOME: Both cases show good outcome following coil embolisation. CONCLUSION: Recognition of this triad is necessary to ensure early accurate diagnosis so that proper treatment is rendered to prevent further recurrent bleeds.
K C Chong; E C Yap; K S Lam; B Y Low
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  33     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-04-21     Completed Date:  2004-07-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  267-9     Citation Subset:  IM    
Department of Orthopaedic Surgery, Changi General Hospital, Singapore.
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MeSH Terms
Anemia / etiology*
Aneurysm, False / complications*,  radiography,  therapy
Edema / etiology*
Fascia / surgery
Femoral Artery / radiography*
Femoral Fractures / complications*,  surgery
Postoperative Hemorrhage / etiology*
Thigh / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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