Abstract
A 74-year old male patient, admitted to the Intensive Care Unit due to septic shock, presented on the 10th day with anaemia....
Highlights
A 74-year old patient, admitted to the Intensive Care Unit due to septic shock, presented on the 10th day with anaemia and enlargement of the right thigh, after removal of a central venous catheter the previous day
Anaemia did not resolve during the days, the patient was in need for daily red blood cell transfusions, so ultrasonography (US) was performed, which revealed an anechoic pulsating cavity (1.54 x 1.40 cm) communicating with the Common Femoral Artery (Figure 1)
The diagnosis of Common Femoral Artery (CFA) pseudoaneurysm was established as bidirectional flow was detected on color Doppler, probably having occurred from accidental puncture of the artery, during the central venous catheterization
Summary
A 74-year old patient, admitted to the Intensive Care Unit due to septic shock, presented on the 10th day with anaemia and enlargement of the right thigh, after removal of a central venous catheter the previous day. CT angiography revealed a large haematoma posteriorly to the right Common Femoral Artery (CFA) without active extravasation. Ultrasonographic Guided Compression of a pseudoaneurysm is an easy, effective, 24-hour available, bedside treatment modality in the setting of such complications in the critical care.
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