Pseudoaneurysm of the ulnar artery following use of an external fixator-a case report

Vancabeke, Michel; Heiderich, Bernard; Bellens, Bernard; Putz, Philippe

doi:10.3109/17453679909000994

Cited by 12 publications

(7 citation statements)

References 9 publications

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“…From 192 potential articles found in the literature, 34 articles fulfilled the study eligibility criteria (Table 1). The pathophysiologic mechanism described for aneurysm of the ulnar artery was traumatic or nontraumatic (Al‐Omran, 2007; Amjad et al, 2010; Belyayev et al, 2015; Boretto et al, 2014; Cardinale, Posner, & Abernathy, 2018; Erdil et al, 2010; Erdoes & Brown, 1995; Gimenez et al, 2009; Green, 1973; Higgs & Weeks, 1993; Hurst et al, 2014; Kehara et al, 2018; Komorowska‐Timek et al, 2004; Lee et al, 2010; Lee et al, 2017; Milling & Kinmonth, 1977; Nade, 1972; Nough et al, 2014; Offer & Sully, 1999; Pin et al, 2018; Plant & Scilley, 2007; Polytarchou et al, 2016; Poonai et al, 2011; Rothkopf et al, 1990; Ryu & Kim, 2010; Sekino et al, 2005; Shaerf et al, 2019; Stalder et al, 2016; Thio, 1972; Torres‐Blanco et al, 2015; Vancabeke et al, 1999; Wang et al, 1998; Witt et al, 2003; Woodley‐Cook et al, 2015). Nine authors presented cases of ulnar artery aneurysms in pediatric patients (Al‐Omran, 2007; Amjad et al, 2010; Green, 1973; Nade, 1972; Offer & Sully, 1999; Poonai et al, 2011; Rothkopf et al, 1990; Stalder et al, 2016; Witt et al, 2003).…”

Section: Resultsmentioning

confidence: 99%

“…It presents as a mass found on the volar surface of the wrist in the hypothenar region (Gimenez et al, 2009; Stalder, Sanders, Lago, & Hilaire, 2016). An aneurysm can arise immediately after a trauma or present years later due to chronic abrasion of the ulnar artery (Erdoes & Brown, 1995; Hurst, Raveendran, & Eckersley, 2014; Milling & Kinmonth, 1977; Vancabeke, Heiderich, Bellens, & Putz, 1999). Once the patient has developed hand dominance, they are more likely to suffer an aneurysm in their dominant hand due to increased exposure to trauma (Rothkopf, Bryan, Cuadros, & May Jr, 1990).…”

Section: Introductionmentioning

confidence: 99%

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Pediatric ulnar artery pseudoaneurysm of the wrist after glass laceration: A case report and systematic review of the literature

et al. 2020

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Background Our purpose was to explore a case of a complicated ulnar artery pseudoaneurysm and propose an algorithm to guide physicians in this scenario. We present a case of a 5‐year‐old boy with a pediatric ulnar artery pseudoaneurysm that developed after a wrist laceration from broken glass 6 weeks after the initial injury. The diagnosis of pseudoaneurysm was missed, and the patient was transferred to our facility in urgent need of resection and repair due to profuse bleeding. An ultrasound confirmed the suspected diagnosis of ulnar artery aneurysm with thrombosis within the vessel. An area of skin necrosis was also present. Upon exploration of the wound, the ulnar artery pseudoaneurysm was identified and resected. The defect measured six millimeters and it was repaired primarily, under the microscope, after the proximal and distal portions were freed by dissection. The patient's incision was well healed at six‐week follow‐up. Method A systematic literature review of the English literature on ulnar artery aneurysm was conducted on PubMed/Medline, Embase, Cochrane Clinical Answers, and Cochrane Clinical Trials, without timeframe limitations. Finally, we provide an algorithm to assist the decision‐making process in similar scenarios. Conclusion Although ulnar artery aneurysm is rare on a pediatric patient, it should be considered in the differential diagnosis each time a patient presents with a wrist mass. In such cases, a high index of suspicion warrants examination by a hand specialist.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pediatric ulnar artery pseudoaneurysm of the wrist after glass laceration: A case report and systematic review of the literature

et al. 2020

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“…3,4 Various reports in the literature have identified trauma to the hand to be the main cause of this disorder. 1,2,5,6 Trauma to the ulnar artery in this vulnerable area can cause mural degeneration. 7 Damage to the intima alone results in thrombosis, whereas an injury to the media can lead to a true arterial aneurysm.…”

Section: Discussionmentioning

confidence: 99%

False Aneurysm in the Palmar Segment of the Ulnar Artery: Report of a Case

2003

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A case demonstrating a false aneurysm in the palmar segment of the ulnar artery caused by a Fogarty's catheter, which had been inserted during a thrombectomy, is described. The diagnosis was suspected based on a clinical examination, and duplex ultrasonography and computed tomography (CT) confirmed an aneurysm in the palmar segment of the ulnar artery. The patient underwent a successful aneurysmectomy with end-to-end reanastomosis.

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“…Al mes de tratamiento, habían desaparecido los signos clínicos y la ecografía Doppler confirmó la resolución del cuadro, y no hubo recurrencias. 14 Saour y cols., y González Martínez y cols. presentaron un caso de falso aneurisma que apareció luego de la descompresión convencional de un síndrome del túnel carpiano.…”

Section: Caso Clínicounclassified

Seudoaneurisma cubital en un niño. Reporte de un caso y revisión bibliográfica

Togneri

Korosek

2021

Rev. Asoc. Arg. Ort. y Traumatol

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Los seudoaneurismas de las arterias de la mano son infrecuentes, se han publicado escasos reportes de casos de adultos, secundarios a un trauma cerrado o abierto. El diagnóstico se confirma mediante ecografía Doppler y otros estudios complementarios. Si no se trata, se puede complicar con trombosis, embolia distal de arterias digitales, lesión nerviosa o necrosis. La cirugía es el tratamiento recomendado y consiste en resección del segmento dañado y ligadura simple, arteriorrafia o reconstrucción vascular con injerto. Los objetivos de este reporte son describir un caso de seudoaneurisma hipotenar secundario a una heridapenetrante en un niño y, dada la rareza de este cuadro, revisar, de manera no sistemática, la bibliografía actual.

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Pseudoaneurysm of the ulnar artery following use of an external fixator-a case report

Cited by 12 publications

References 9 publications

Pediatric ulnar artery pseudoaneurysm of the wrist after glass laceration: A case report and systematic review of the literature

Pediatric ulnar artery pseudoaneurysm of the wrist after glass laceration: A case report and systematic review of the literature

False Aneurysm in the Palmar Segment of the Ulnar Artery: Report of a Case

Seudoaneurisma cubital en un niño. Reporte de un caso y revisión bibliográfica

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