A penetrating nail-prick injury of the lateral plantar artery leading to pseudo-aneurysm formation and rupture : case report

Şişli, Emrah; Hasde, Ali Ihsan; Mavi, Mustafa; Dursun, Suat

doi:10.5830/cvja-2014-028

Cited by 3 publications

(3 citation statements)

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“…Because LPA is superficial and not protected by musculature, continued trauma during ambulation does not allow healing and resolution of the pseudoaneurysm to occur [2,3]. Therefore, there is an increased risk of rupture and hemorrhage as was evident in this child.…”

Section: Discussionmentioning

confidence: 91%

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Profuse bleeding from traumatic lateral plantar artery pseudoaneurysm after glass foot injury diagnosed by CT angiography: A case report

Crankson

Gieballa

Kohlani

2015

Journal of Pediatric Surgery Case Reports

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a b s t r a c tRetained foreign bodies and penetrating injuries to the plantar aspect of the foot are a common childhood problem. Inflammations or infections are common complications whereas vascular injury and pseudoaneurysm' formation are rare. Three cases of post -traumatic lateral plantar artery (LPA) pseudoaneurysms due to foot lacerations by glass have been reported in children. This case is a six year-old boy who presented with two episodes of bleeding after a foot laceration sustained when he stepped on glass. CT angiography showed an LPA pseudoaneurysm that was successfully managed by surgery. It should be recognized that penetrating injuries to the plantar aspect of the foot, may be associated with vascular injury and pseudoaneurysm' formation. Appropriate investigations and management is important to prevent further complications.Ó 2015 The Authors. Published by Elsevier Inc. All rights reserved.Foreign bodies (FB) and penetrating injuries in the plantar aspect of the foot are a common childhood problem. The most common complications, if not properly treated, are infections and inflammatory reactions. Vascular complications and pseudoaneurysms are rare. Lateral plantar artery (LPA) pseudoaneurysms have been reported following plantar fasciotomy, calcaneal osteotomy, calcaneal fracture, foot lacerations from glass and nail prick injuries, and after corrective foot deformities in children [1e3]. Three reports of LPA pseudoaneurysms in children were found in the English medical literature, all had sustained foot lacerations from glass injury [2,4]. Herein we report a fourth case which occurred in a 6-year-old child.

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Section: Discussionmentioning

confidence: 91%

“…In a child with persistent pain or swelling at the wound site following a foot laceration from glass injury, US will differentiate a pseudoaneurysm of LPA from a hematoma or an abscess [3,7]. US is non-invasive, inexpensive, and portable for examination to be performed on the bedside or in the emergency room.…”

Section: Discussionmentioning

confidence: 99%

Profuse bleeding from traumatic lateral plantar artery pseudoaneurysm after glass foot injury diagnosed by CT angiography: A case report

Crankson

Gieballa

Kohlani

2015

Journal of Pediatric Surgery Case Reports

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“…Only a few cases have been reported in children and just two cases in adults. [2][3][4][5][6][7] They all were caused by glass penetration except one by a nail. In this report, an adult LPA pseudoaneurysm caused by a knife cut is presented.…”

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confidence: 99%

Sonography of Lateral Plantar Artery Pseudoaneurysm Caused by Knife Cut Injury

Li¹

2022

Journal of Diagnostic Medical Sonography

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Pseudoaneurysms of the lateral plantar artery (LPA) are rare. In this case study, a very rare case of a pseudoaneurysm of the LPA, caused by a knife cut, is reported. A female adult patient presented with a growing lump in the arch of the left foot for 4 weeks. She had an accidental steak knife stab her on the arch of the left foot and had the cut sutured 5 weeks prior. The physical examination revealed a warm, pulsatile, and tender lump without a clear border deep to the scar in the lateral arch. Duplex ultrasonography (DUS) detected a cavity with the wall uneven in thickness and the outer wall undistinguished. Doppler demonstrated a typical Yin-yang sign inside the cavity and a neck-like structure connecting the cavity to an artery along the path of the LPA, suggesting that this was a LPA pseudoaneurysm, caused by penetration trauma. Later, the patient received priority surgery to have the pseudoaneurysm repaired.

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Point-Of-Care Ultrasound Diagnosis of Medial Plantar Artery Pseudoaneurysm Secondary to Penetrating Injury

Alerhand

Cherneykina

Wei

et al. 2020

The Journal of Emergency Medicine

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A penetrating nail-prick injury of the lateral plantar artery leading to pseudo-aneurysm formation and rupture : case report

Cited by 3 publications

References 0 publications

Profuse bleeding from traumatic lateral plantar artery pseudoaneurysm after glass foot injury diagnosed by CT angiography: A case report

Profuse bleeding from traumatic lateral plantar artery pseudoaneurysm after glass foot injury diagnosed by CT angiography: A case report

Sonography of Lateral Plantar Artery Pseudoaneurysm Caused by Knife Cut Injury

Point-Of-Care Ultrasound Diagnosis of Medial Plantar Artery Pseudoaneurysm Secondary to Penetrating Injury

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