Traumatic Pseudoaneurysm of the Lateral Circumflex Femoral Artery Presenting as Anterior Thigh Compartment Syndrome: A Rare Complication of Intracapsular Hip Fracture Fixation

Kantak, Avadhoot

doi:10.14740/jmc2807w

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…The second and third cases were reported as iatrogenic injury to the LCFA [ 6 , 7 ]. In the second case an 86-year-old woman suffered an undisplaced subcapital pseudo-aneurysm and the pre- peri and immediate post-operative periods went successfully without complication.…”

Section: Discussionmentioning

confidence: 99%

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Pseudo-aneurysm of the lateral circumflex femoral artery after femoral neck fracture – A case report

Carroll

Flavin

2020

Trauma Case Reports

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Only one case of injury of the lateral circumflex femoral artery secondary to a femoral neck fracture has been reported. We present a second case of this rare injury. A 59-year-old gentleman fell from an embankment, from approximately two meters in height, while landscaping and landed onto his left side. He suffered immediate pain in his left hip and was unable to weight bear. X-ray demonstrated a Garden II left femoral neck fracture. Within 24 of the injury, he underwent percutaneous internal fixation of his left hip using partially threaded cannulated screws. Two days post operatively, the patient described pain in his groin. X-ray was satisfactory and the pain was attributed to the fracture and subsequent surgery. However, this pain persisted, worsened and warranted further investigation. A doppler ultrasound, followed by a CT angiogram, confirmed a pseudoaneurysm of the lateral circumflex femoral artery which was treated with embolisation by the vascular surgery service. This relieved the patient's discomfort immediately. This is the second reported case of pseudo-aneurysm of the lateral circumflex femoral artery secondary to a femoral neck fracture.

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Section: Discussionmentioning

confidence: 99%

“…A pseudo-aneurysm of the LCFA secondary to a femoral neck fracture has been reported three times in the literature, with iatrogenic causes identified in two of those cases [ [4] , [5] , [6] , [7] ]. We report a second case of pseudo-aneurysm of the LCFA secondary to a femoral neck fracture.…”

Section: Introductionmentioning

confidence: 99%

Pseudo-aneurysm of the lateral circumflex femoral artery after femoral neck fracture – A case report

Carroll

Flavin

2020

Trauma Case Reports

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“…This is followed by the formation of a hematoma, its containment by the surrounding tissues, and the inflammatory process [1]. Few cases of femoral artery pseudoaneurysm or its branches have been reported following closed reduction and internal fixation of both proximal [2][3][4] and distal femur fractures [5]. Traumatic false aneurysm following open reduction for femoral shaft fracture has also been reported previously [6].…”

Section: Introductionmentioning

confidence: 99%

Iatrogenic Pseudoaneurysm of the Lateral Femoral Circumflex Artery Following Antegrade Intramedullary Femur Nailing: A Case Report

Khirul Ashar,

Ismail,

Lingam

2024

Cureus

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Few cases of femoral artery pseudoaneurysm or its branches have been reported following intramedullary nailing of femur fractures. The occurrence of a false aneurysm of the lateral femoral circumflex artery (LFCA) for such a fracture has never been reported so far. We report a case of a young male with a delayed presentation of right thigh swelling following an antegrade interlocking nail femur. Ultrasonography and CT angiography of the right thigh confirmed a pseudoaneurysm communicating with LFCA. After unsuccessful ultrasound-guided compression therapy, the patient underwent embolization of the right LFCA pseudoaneurysm by an interventional radiologist. Although intramedullary nailing is considered a safe procedure, a pseudoaneurysm should be suspected when the patient presents with a painful swelling after the surgery. Glue embolization of the artery should be considered as one of the treatment options, as it yields favorable outcomes with less morbidity.

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Late-Onset Hematoma Due to Bleeding of a Small Branch of the Lateral Circumflex Femoral Artery Following Proximal Femur Intramedullary Nailing

Papaioannou¹,

Πανταζίδου²,

Repantis³

et al. 2022

Cureus

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Intramedullary nailing of proximal femur fracture is not deprived of complications, although vascular complications are very rare and a high index of suspicion is required for timely diagnosis. This case report describes how a late-onset hematoma formation and bleeding of a small branch of the lateral circumflex femoral artery can complicate intramedullary nailing after a pertrochanteric fracture. To the best of our knowledge, this complication has never been reported and should be considered among the possible vascular complications of intramedullary nailing. Orthopedic surgeons should be aware of the vascular complications that can occur even with late-onset presentation and even from small vessels, while administration of anticoagulants is an aggravating factor. Elderly patients with proximal femur fractures are more susceptible to vascular injury due to the structure of their vessels and the vicinity of the fracture to the arterial supply of the hip.

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Traumatic Pseudoaneurysm of the Lateral Circumflex Femoral Artery Presenting as Anterior Thigh Compartment Syndrome: A Rare Complication of Intracapsular Hip Fracture Fixation

Cited by 3 publications

References 12 publications

Pseudo-aneurysm of the lateral circumflex femoral artery after femoral neck fracture – A case report

Pseudo-aneurysm of the lateral circumflex femoral artery after femoral neck fracture – A case report

Iatrogenic Pseudoaneurysm of the Lateral Femoral Circumflex Artery Following Antegrade Intramedullary Femur Nailing: A Case Report

Late-Onset Hematoma Due to Bleeding of a Small Branch of the Lateral Circumflex Femoral Artery Following Proximal Femur Intramedullary Nailing

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