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

Alerhand, Stephen; Cherneykina, Mariya; Wei, Helen; Barricella, Robert L.

doi:10.1016/j.jemermed.2020.02.008

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…Most plantar pseuduoaneurysms caused by penetration trauma were reported in the LPA, with fewer in the MPA. 9,10 The reason may be that the distal half of LPA lies in a relative superficial location, where it is deep only to the plantar fascia, and is susceptible to penetration injury. 2,5,11 In contrast, the MPA lies deep to multiple muscles in the sole, which is more protected from a penetration injury.…”

Section: Discussionmentioning

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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