Pseudo-aneurysm of the profunda femoris artery as a late complication of hip fracture in a patient with myelodysplasia

Cowley, A R; Williams, David Wynne; Butler, Michael; Edwards, Andrew J.; Parsons, S.

doi:10.1308/147870807x238221

Cited by 23 publications

(17 citation statements)

References 6 publications

(7 reference statements)

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“…All three cases share almost the same mechanism and type of injury, means of treatment, clinical presentation and diagnostic studies. Progressive anemia was reported by the other authors, but was also clearly present in reports of false aneurysm in other locations [9,11,12]. In our opinion, it constitutes an important sign of ongoing blood leakage.…”

Section: Discussionsupporting

confidence: 85%

Missed diagnosis of false aneurysm of the superficial femoral artery after closed complex fracture of the distal femur

Lazarov

Bracht

Victor

et al. 2014

Orthopaedics & Traumatology: Surgery & Research

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This case report presents a 38-year-old male patient who developed a false aneurysm of the superficial femoral artery after minimally invasive plate internal fixation of a comminuted articular distal femoral fracture sustained in a motor vehicle accident. Two days after surgery, the patient developed pain, non-pulsatile swelling on the medial side of the knee and anemia. After about six weeks, diagnosis of false aneurysm of the superficial femoral artery was confirmed by duplex ultrasound and computed tomographic angiography. A percutaneous endovascular procedure was performed to treat the false aneurysm without evacuating the blood collection.

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Section: Discussionsupporting

confidence: 85%

Missed diagnosis of false aneurysm of the superficial femoral artery after closed complex fracture of the distal femur

Lazarov

Bracht

Victor

et al. 2014

Orthopaedics & Traumatology: Surgery & Research

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“…Profunda femoris pseudoaneurysms have been previously reported in femoral shaft fractures [ 4 , 12 , 13 ] and hip core decompression [ 14 ], with slightly more prevalence than THA. The more common arteries injured during total hip arthroplasty include external iliac, common femoral, and femoral circumflex arteries [ 4 , 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Profunda Femoris Pseudoaneurysm following Total Hip Arthroplasty Revision

Harper

Iorio

Balasubramanian

2015

Case Reports in Orthopedics

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Vascular injuries following total hip arthroplasty (THA) are very rare, with pseudoaneurysm being a small subset. We report a case of profunda femoris artery (PFA) pseudoaneurysm in a 61-year-old male following a posterior approach revision left THA. Presentation involved continued blood transfusion requirements several weeks postoperatively. Diagnosis of the pseduoaneurysm was made by contrast CT of the lower extremity, with confirmation via IR angiography. Successful embolization was achieved with selective coiling and Gelfoam. Presenting complaints of such complications are often vague and therefore lead to delayed diagnosis. Causes of such complications are not completely understood, particularly with PFA injuries in THA. Possible mechanisms are discussed in this paper. Vascular complications following THA can be difficult to diagnose. High suspicion in the setting of continued postoperative pain or bleeding may allow prompt diagnosis and avoidance of serious limb-threatening complications.

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“…The clinical presentation is often less clear-cut than the more frequently occurring femoral artery pseudoaneurysm due to its deep location [16]. In this case, the presentation was not typical: 4 years post-operatively with a tender non-pulsatile right-sided groin swelling, albeit with a normocytic anemia.…”

Section: Discussionmentioning

confidence: 75%

Profunda femoris pseudoaneurysm following Birmingham hip resurfacing: an important differential diagnosis for a periarticular cystic mass

et al. 2011

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Vascular injury following hip resurfacing arthroplasty is rare: we present a case of profunda femoris pseudoaneurysm complicating hip resurfacing arthroplasty performed via an anterolateral approach. Over recent years, it has been recognized that an adverse reaction to metal debris from metal-on-metal arthroplasties can also result in the development of cystic masses around the hip. This case highlights a potential rare differential diagnosis that needs to be considered when imaging cystic mass lesions around the postoperative hip. Imaging can provide a definitive diagnosis if this entity is considered and its appearances recognized, resulting in appropriate management of this potentially limb- and life-threatening complication.

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Pseudo-aneurysm of the profunda femoris artery as a late complication of hip fracture in a patient with myelodysplasia

Abstract: We report a pseudo-aneurysm of the profunda femoris artery that resulted in intermittent bleeding and pain 6 weeks following dynamic hip screw fixation of an intertrochanteric hip fracture. Early diagnosis by angiogram could have minimised significant patient morbidity in this case.

Cited by 23 publications

References 6 publications

Missed diagnosis of false aneurysm of the superficial femoral artery after closed complex fracture of the distal femur

Missed diagnosis of false aneurysm of the superficial femoral artery after closed complex fracture of the distal femur

Profunda Femoris Pseudoaneurysm following Total Hip Arthroplasty Revision

Profunda femoris pseudoaneurysm following Birmingham hip resurfacing: an important differential diagnosis for a periarticular cystic mass

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