A Pseudoaneurysm of a Peripheral Artery Arising Four Years After Trauma to a Limb: A Case Report. Issue 1 (January 2016)

• Record Type: Journal Article
• Authors: Bhuyan, Sanjeev K.; Dey, Sukalyan; Baruah, Pradip K.; Bordoloi, Bikash J.
• Is Part Of: JBJS case connector. Volume 6:Issue 1(2016)
• Publication Date: 2016-01
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.O.00127
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A young woman who underwent plate fixation for a radial shaft fracture had an uneventful recovery for four years. Subsequently, over a four-month period, a slowly progressing swelling appeared in the forearm with no features of vascular insufficiency, bruits, or pulsatility. Doppler ultrasonography and computed tomography revealed a pseudoaneurysm arising from the ulnar artery. The patient was treated with exploration, evacuation of the clot, aneurysm repair, and implant removal. Conclusion: To our knowledge, this is the longest period of quiescence reported for a posttraumatic pseudoaneurysm. A late pseudoaneurysm is possible in previously operated limbs, even after years of recovery and the absence of the typical features of vascular lesions.