Ruptured infective pseudoaneurysm of the posterior tibial artery causing repeated bleeding in a chronic venous ulcer

Abstract

Bleeding from the chronic venous ulcer is usually from underling ruptured varicosities or due to opening of arteriovenous communications. Pseudoaneurysm of the tibial arteries in the chronic venous wounds leading to bleeding is an extremely rare complication. Massive bleeding sometimes is life-threatening. We present a case of ruptured infected pseudoaneurysm of the posterior tibial artery with a chronic venous ulcer, who presented in shock with repeated episodes of bleeding.