An unusual cause of femoral pseudoaneurysm

Djeinaba Kane,Drissi Boumzebra,Moussa Son,Soukaina Benbakh,Zahira Zouizra

doi:10.5348/101204z01dk2021cr

Abstract

Superficial femoral artery pseudoaneurysms are rare and usually iatrogenic. We describe the case of a 27-year-old patient who presented a week after trauma with a piece of iron lodged in the middle third of the thigh, a pulsatile mass revealing a pseudoaneurysm of the superficial femoral artery. The patient underwent urgent surgery. We performed a direct suture of the arterial defect without using a venous graft. The postoperative course was uneventful.

Highlights

We describe a case of a 27-year-old patient who presented a week after trauma with a piece of iron lodged in the middle third of the thigh, a beating mass revealing a pseudoaneurysm of the superficial femoral artery
We present a case of a 27-year-old patient, with no specific medical history, including no known elastopathy, who, one week before admission, accidentally received a piece of an iron bar in the middle and inner third of the right thigh when he manually banged on a piece of iron
There was a swelling in the middle third of the right thigh on the path of the superficial femoral artery, beating on sight and palpation and measuring approximately 50 mm

Summary

INTRODUCTION

We describe a case of a 27-year-old patient who presented a week after trauma with a piece of iron lodged in the middle third of the thigh, a beating mass revealing a pseudoaneurysm of the superficial femoral artery. A week later, the patient noticed a gradually increasing mass to the point of trauma and became larger. There was a swelling in the middle third of the right thigh on the path of the superficial femoral artery, beating on sight and palpation and measuring approximately 50 mm. We approached surgically on both sides of the mass and effectively controlled the superficial femoral artery (Figure 3) a big hematoma with several thrombi. Examination of the wall of the superficial femoral artery revealed a lesion of approximately 1.5 cm (Figure 4). Short- and mid-term follow-up did not reveal a recurrence or other anomalies

DISCUSSION

Findings

CONCLUSION