Pseudoaneurysm of the popliteal artery mimicking tumorous condition

Kim, Yeo Ju; Baek, Wan Ki; Kim, Jang Yong; Park, Sun Won; Jeon, Yong Sun; Lee, Kyung Hee; Cho, Soon Gu; Lim, Myung Kwan

doi:10.4174/jkss.2011.80.suppl1.s71

Cited by 10 publications

(5 citation statements)

References 12 publications

(13 reference statements)

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“…Other injuries that can occur are fractures of the humeral neck and the proximal humerus [ 5 ]. In the reports by Erler et al [ 16 ] and Kim et al [ 17 ], the diagnosis of pseudoaneurysms was not straightforward. This pathologic condition often does not occur shortly after trauma, but it develops later [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Injury to the shoulder region is the most common complication of a dislocated shoulder joint, humeral fractures, plexus brachialis injuries, and also vascular injury [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 ]. Pseudoaneurysms represent an encapsulated hematoma in communication with the lumen of a ruptured vessel [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 ]. Traumatic pseudoaneurysm of the axillary artery is a rare sequela of injury to the shoulder region [ 1 , 3 , 5 , 9 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

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A Rare Case of Neglected Rupture of Right Axillary Artery Pseudoaneurysm Mimicking a Soft Tissue Tumor

et al. 2020

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Traumatic lesions of the axillary artery itself are limited to 2.9–9% of major arterial injuries. Pseudoaneurysms represent a pulsating encapsulated hematoma in communication with the lumen of a ruptured vessel. Traumatic pseudoaneurysm of the axillary artery is a rare sequela of injury to the shoulder region. We describe a case of posttraumatic pseudoaneurysm involving the axillary artery, which was initially misdiagnosed as an aggressive soft tissue tumor. The man presented 10 years after an injury from a fall from a tree with a slowly growing mass in the right upper limb region and reduced range of movement. This is a neglected case with a history of traditional massage. The patient presented a pathologic fracture of the right proximal humerus and dislocation of the glenohumeral joint. At the beginning, it was suggested to be a primary soft tissue tumor, but after several examinations, including comparable X-ray, ultrasound, and histopathology, the results did not support a soft tissue tumor. Magnetic resonance imaging and computed tomography angiography (CTA) finally confirmed the finding of a pseudoaneurysm of the right axillary artery associated with a huge hematoma with different age of the bleeding product and granulation tissue. This case demonstrates the necessity of early diagnosis of axillary artery pseudoaneurysm to prevent complications after a history of trauma. CTA is a useful modality to evaluate vascular injury and provides valuable information.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Rare Case of Neglected Rupture of Right Axillary Artery Pseudoaneurysm Mimicking a Soft Tissue Tumor

et al. 2020

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“…Uzuka et al [5] rapportent le cas d'un « géant faux anévrisme » intercostal de 4 cm chez un patient porteur de neurofibromatose. En 2011, Kim et al [6] ont rapporté un cas clinique d'un patient de 65 ans avec des antécédents de chirurgie du genou suite à un traumatisme du membre, traité pour un faux anévrisme de 10 cm sur l'artère poplitée mimant initialement un sarcome. Chez notre patiente, la taille géante de ce faux anévrisme est due aussi bien à son évolution sur plusieurs années qu'à la présence de thromboses favorisant une néovas-cularisation nourricière du faux anévrisme pour atteindre une taille pareille (15 Â 12 cm) mimant une tumeur de la cuisse.…”

Section: Discussionunclassified

Un faux anévrisme géant de la jonction fémoro-poplitée mimant un sarcome de la cuisse

Joulali

Houari

Bouazzaoui

et al. 2015

Anesthésie & Réanimation

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“…pulsating mass, pain, nerve compression and rupture. Other presentations include thromboembolism causing limb ischemia, deep venous thrombosis and tumor [ 9 ]. In this case, it presented initially as compartment syndrome, and later investigations showed popliteal pseudoaneurysm to be the cause of this.…”

Section: Discussionmentioning

confidence: 99%

An iatrogenic popliteal pseudoaneurysm masked under compartment syndrome of leg

Sajjad

Coveney

Ahmed

et al. 2014

Journal of Surgical Case Reports

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This case describes a 60-year-old gentleman who presented with a pulsating mass behind his knee. Before this, he had a fasciotomy for suspected compartment syndrome of leg following knee arthroscopy, but this failed to resolve his leg symptoms. He was hemodynamically stable on presentation. His left calf was swollen with a circumference of 3 cm greater than right. There was a large pulsating mass palpable in his left popliteal fossa. Distal neurovascular status of the leg was intact. He had a normal cardiovascular, respiratory, abdominal and neurological examination. Ultrasound showed a cystic mass in the popliteal fossa suggestive of aneurysm. CT angiogram demonstrated a 6 × 5 × 4 cm pseudoaneurysm compressing and displacing the left popliteal artery with satisfactory three-vessel run-off. An emergency repair was performed. An arteriotomy was identified at the proximal end of pseudoaneurysm and it was closed with a patch of small saphenous vein. It led to a good clinical outcome.

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Pseudoaneurysm of the popliteal artery mimicking tumorous condition

Cited by 10 publications

References 12 publications

A Rare Case of Neglected Rupture of Right Axillary Artery Pseudoaneurysm Mimicking a Soft Tissue Tumor

A Rare Case of Neglected Rupture of Right Axillary Artery Pseudoaneurysm Mimicking a Soft Tissue Tumor

Un faux anévrisme géant de la jonction fémoro-poplitée mimant un sarcome de la cuisse

An iatrogenic popliteal pseudoaneurysm masked under compartment syndrome of leg

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