Abstract
Pseudoaneurysms (PSA) of deep femoral artery (DFA) have been reported following penetrating and blunt trauma to the thigh and orthopedic procedures of the proximal femur. We describe a case of pseudoaneurysm of DFA as a late complication of limb trauma which was confirmed by exploration in an urgent surgery. After two operations successful surgical repair was performed.
Highlights
Pseudoaneurysms of deep femoral artery (DFA) can present in various forms such as a painful pulsatile mass or even thigh compartment syndrome
Factors Associated with the Formation of Pseudoaneurysms
The wall of the false aneurysm is composed of the compressed, surrounding tissues, not the wall of the artery from which the lesion originated (4).PSAs may occur in 4 situations: 1) After catheterization,(2) Synthetic graft anastomoses,(3) Trauma,(4) Infection
Summary
Pseudoaneurysms of DFA can present in various forms such as a painful pulsatile mass or even thigh compartment syndrome. Pseudoaneurysms, may be the result of any vascular intervention. It may lead to serious consequences, such as major amputation or even death (1). Traumatic pseudoaneurysms of the DFA are only encountered infrequently in sports medical literature and are normally secondary to endovascular interventions or to mycotic infections, in IV drug users or following trauma to the thigh and orthopedic procedures of femur. As a pulsatile mass, on occasions clinical signs of compression (pain, neurological or venous symptoms) may occur; or, if the aneurysm bursts, it can lead to hypovolumic shock (2). We describe a case of femoral fracture with pseudoaneurysm of the DFA that presented with bleeding after orthopedic surgery
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