Three-Year Delayed Presentation of Femoral Pseudoaneurysm after Penetrating Limb Trauma

Butterworth, James; Butterworth, William; Wu, Roxanne

doi:10.1016/j.avsg.2014.09.019

Cited by 7 publications

(10 citation statements)

References 25 publications

(12 reference statements)

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“…The case, described by Besir et al, demonstrates the often lengthy time to presentation [ 15 ]. Butterworth et al described an even more poignant example of this by describing a case in which a patient presented with a PFA pseudoaneurysm 3 years after penetrating injury [ 2 ]. One study goes as far to suggest that average time from initiating injury to diagnosis ranges from 4 months to 6 years [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…PFA pseudoaneurysm is not particularly uncommon and is often associated with penetrating trauma, surgical intervention, or femur fracture [ 2 ]. PSA pseudoaneurysm is much less commonly associated with blunt trauma [ 2 ]. Delayed formation of pseudoaneurysm is common furthering the difficulty in making the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Injury to the PFA is not an uncommon occurrence, often resulting from fractures of the nearby femur bone or penetrating trauma [ 1 ]. Iatrogenic sources, generally occurring during or resulting from surgery, are also a possible cause of PFA injury [ 2 ]. Injuries to the PFA precipitated by the aforementioned sources may result in pseudoaneurysm [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Iatrogenic sources, generally occurring during or resulting from surgery, are also a possible cause of PFA injury [ 2 ]. Injuries to the PFA precipitated by the aforementioned sources may result in pseudoaneurysm [ 2 ]. However, PFA pseudoaneurysms resulting from blunt trauma are rather atypical especially with no associated surgery or long bone fracture [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Pseudoaneurysm of the Profunda Femoris Artery following Blunt Trauma Treated by Endovascular Coil Embolization: Review of Two Cases and Relevant Literature

Biswas

McNerney

Kiproff

2017

Case Reports in Emergency Medicine

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Profunda femoris artery (PFA) pseudoaneurysm after blunt trauma without associated femur fracture is a rare occurrence. Most of the reported cases of PFA pseudoaneurysm in the English literature developed after penetrating trauma, surgical procedures, and femur fractures. We present two such cases following blunt trauma and without any associated long bone injury. After initial imaging failed to show any long bone fracture, CT angiography confirmed pseudoaneurysm of the branch of the PFA. Both patients were then treated with emergent coil embolization of the bleeding vessel. Pseudoaneurysms typically present late and signs of persistent hip pain, thigh swelling, presence of a pulsatile mass, and even unexplained anemia all may suggest the diagnosis. Recognition of PFA pseudoaneurysm requires high index of suspicion and is often difficult to diagnose clinically because of its location.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pseudoaneurysm of the Profunda Femoris Artery following Blunt Trauma Treated by Endovascular Coil Embolization: Review of Two Cases and Relevant Literature

Biswas

McNerney

Kiproff

2017

Case Reports in Emergency Medicine

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“…The incidence is rare and pathophysiology of this delayed presentation is unknown; however, the consequences are clearly potentially fatal. [5][6][7][8] Although endovascular options are increasingly utilized in vascular trauma, 9 both the size of the pseudoaneurysm and its associated clinical symptoms (dysphagia, hoarseness, tongue deviation) make an open surgical procedure a more attractive option. Although the technical difficulties due to dense inflammatory reaction, which increases the likelihood of injury to surrounding structures, should not be understated.…”

Section: Discussionmentioning

confidence: 99%

Delayed presentation of a carotid pseudoaneurysm following penetrating neck trauma

Alfawaz

Kénel-Pierre

et al. 2016

SAGE Open Medical Case Reports

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Objective:Penetrating carotid trauma in a hemodynamically stable patient invariably presents with a pseudoaneurysm on initial imaging. Although extremely rare, delayed pseudoaneurysm formation has been reported. The purpose of this paper is to define this rare entity and propose a diagnostic and treatment plan.Methods:We present a case of delayed presentation of carotid pseudoaneurysm following penetrating neck trauma. A systematic review of the literature was performed.Results:A 21-year-old male presents to the trauma center after sustaining a gunshot wound to the left upper back resulting in a zone 2 hematoma and pneumothorax. Bullet fragment artifact interfered with computed tomography. Carotid angiogram was normal. The patient was discharged after 3 days. He returned to the Emergency Department 3 months later with a painful pulsatile hematoma. Computed tomography angiogram revealed a 6-cm pseudoaneurysm arising from the proximal left internal carotid artery (ICA). A left common carotid artery (CCA) to ICA bypass with reversed great saphenous vein was performed. The patient’s post-operative course was uneventful, neurologic deficits improved, and he was discharged.Conclusion:Delayed presentation of traumatic pseudoaneurysms has been reported, although usually these cases are iatrogenic access complications in extremities. While endovascular therapies are first line for zone 1 and 3 vascular injuries, management of zone 2 injuries is still controversial. This patient was treated with a bypass due to the need to evacuate the hematoma that was exerting a mass effect in the neck.

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Delayed presentation of superficial femoral artery pseudoaneurysm 45 years following gunshot injury

Ramakrishnan

Vaswani

Hote

et al. 2020

Indian J Thorac Cardiovasc Surg

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Three-Year Delayed Presentation of Femoral Pseudoaneurysm after Penetrating Limb Trauma

Cited by 7 publications

References 25 publications

Pseudoaneurysm of the Profunda Femoris Artery following Blunt Trauma Treated by Endovascular Coil Embolization: Review of Two Cases and Relevant Literature

Pseudoaneurysm of the Profunda Femoris Artery following Blunt Trauma Treated by Endovascular Coil Embolization: Review of Two Cases and Relevant Literature

Delayed presentation of a carotid pseudoaneurysm following penetrating neck trauma

Delayed presentation of superficial femoral artery pseudoaneurysm 45 years following gunshot injury

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