Document Detail


Superficial temporal artery pseudoaneurysm: ultrasonographic diagnosis in the ED.
MedLine Citation:
PMID:  19497476     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Superficial temporal artery pseudoaneurysm (STAP) is an uncommon complication of blunt and penetrating trauma. It accounts for only 1% of all traumatic aneurysms. Superficial temporal artery pseudoaneurysm usually has the characteristic appearance of a cystic pulsatile mass in the region of the superficial temporal artery. Here we present a case of posttraumatic STAP detected by US in the emergency department (ED). A 58-year-old woman presented to our ED with a tender right frontoparietal mass. Two weeks before presentation, the patient was involved in a motor vehicle accident (MVA) and was taken to the state hospital where the result of a computed tomography scan of the head was shown to be normal except for right frontoparietal soft tissue swelling and hematoma formation. A few days after discharge, the diameter of the soft tissue swelling decreased and the patient was well.However, 2 weeks after the MVA, the patient presented to our ED with a throbbing headache and dramatic increase in the diameter of the lesion. Examination showed a 5 x 5-cm swelling, which was soft, tender, and fluctuant on palpation. The swelling was not pulsatile. Ultrasound was performed using a 7.5-MHz probe and demonstrated a well-defined, pulsatile, anechoic mass measuring approximately 50 x 50 mm in diameter. Ultrasound is a valuable and readily available tool in the ED to confirm the diagnosis.
Authors:
Erkan Goksu; Engin Senay; Emel Alimoğlu; Cihat Aksoy
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  27     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-05     Completed Date:  2009-07-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  627.e1-3     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, School of Medicine, Akdeniz University. erkangoksu@akdeniz.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Aneurysm, False / ultrasonography*
Female
Humans
Middle Aged
Temporal Arteries / ultrasonography*

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