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Annals of Vascular Surgery Jul 2017Pseudoaneurysms are rare and are most commonly caused by blunt trauma. Taking a clinical history and doing an examination are very helpful to clinicians in making a...
Pseudoaneurysms are rare and are most commonly caused by blunt trauma. Taking a clinical history and doing an examination are very helpful to clinicians in making a diagnosis. In addition, imaging methods are very useful in distinguishing a pseudoaneurysm from soft-tissue tumors. Early diagnosis and treatment are crucial in preventing the development of possible complications. The treatment approach varies according to the localization and size of the lesion and presence of complications. We present a case-with imaging and surgical findings-of a pseudoaneurysm in a 27-year-old male in the second web interval after a penetrating trauma.
Topics: Adult; Aneurysm, False; Arteries; Fingers; Humans; Magnetic Resonance Imaging; Male; Predictive Value of Tests; Regional Blood Flow; Treatment Outcome; Vascular System Injuries; Wounds, Penetrating
PubMed: 28385502
DOI: 10.1016/j.avsg.2017.03.165 -
Catheterization and Cardiovascular... Feb 2010Pseudoaneurysms of the tibioperoneal trunk are rare and can be limb threatening. There are various treatment options to seal pseudoaneuryms both percutaneously and via...
INTRODUCTION
Pseudoaneurysms of the tibioperoneal trunk are rare and can be limb threatening. There are various treatment options to seal pseudoaneuryms both percutaneously and via open surgery.
CASE REPORT
Description of the case of a large tibioperoneal trunk pseudoaneurysm that has been successfully treated by coil embolization in a patient with a previous endocarditis.
CONCLUSION
Endovascular treatment of pseudoaneurysm should be considered as an alternative treatment option to open surgery.
Topics: Aged; Aneurysm, False; Embolization, Therapeutic; Humans; Leg; Magnetic Resonance Angiography; Male; Radiography; Tibial Arteries; Treatment Outcome
PubMed: 20095014
DOI: 10.1002/ccd.22256 -
BMJ Case Reports Jun 2021A 34-year-old man presented with painful swelling in the right gluteal region. The MRI showed right sacroiliitis and adjacent intramuscular abscess. The abscess was...
A 34-year-old man presented with painful swelling in the right gluteal region. The MRI showed right sacroiliitis and adjacent intramuscular abscess. The abscess was drained by a pigtail insertion followed by incision and drainage. The patient developed persistent bleeding from the drainage site. CT angiogram revealed a large pear-shaped pseudoaneurysm arising from the anterior branch of the right internal iliac artery. The patient had Abrus precatorius poisoning previously resulting in methicillin-resistant septicaemia, which incited above events. Digital subtraction angiography with coil embolisation of the right internal iliac artery was done under the cover of culture-specific antibiotics along with thorough wound debridement following which the patient's condition improved. Isolated infected pseudoaneurysms of internal iliac arteries, although rare, should be considered in cases of complicated sacroiliitis. Under antibiotic cover, endovascular coil embolisation can be considered as a treatment strategy to treat complicated infected pseudoaneurysms located in difficult anatomical locations.
Topics: Adult; Aneurysm, False; Angiography, Digital Subtraction; Blood Vessel Prosthesis; Humans; Iliac Artery; Male; Methicillin-Resistant Staphylococcus aureus
PubMed: 34130971
DOI: 10.1136/bcr-2020-239005 -
The Pan African Medical Journal 2022We report an 83-year-old patient with a huge post-catheterization right radial pseudoaneurysm, presented 17 months after a coronary angiography. Cases of radial...
We report an 83-year-old patient with a huge post-catheterization right radial pseudoaneurysm, presented 17 months after a coronary angiography. Cases of radial post-catheterization pseudoaneurysms with a similar size are scarce in the literature. Delay in presentation led to painful skin ischemia due to tension, a sign of imminent rupture, which is also rare in the literature. Symptomatology included severe wrist pain and clinical signs consisted of a pulsatile painful mass in the right distal forearm. Management consisted of surgical excision and ligation of the radial artery in an urgent base. This case emphasizes the need for early diagnosis and management of post-catheterization pseudoaneurysms as delay may lead to severe enlargement with skin necrosis and imminent rupture. Ligation of the radial artery is an acceptable option when reconstruction of the artery is troublesome, provided that the palmar arch remains patent.
Topics: Aged, 80 and over; Aneurysm, False; Catheterization; Coronary Angiography; Humans; Radial Artery; Rupture; Wrist
PubMed: 35734330
DOI: 10.11604/pamj.2022.41.261.29725 -
Digestive Diseases and Sciences May 2023Left gastric artery (LGA) pseudoaneurysm presenting with upper gastrointestinal (UGI) bleeding is rare but fatal, unless treated.
BACKGROUND
Left gastric artery (LGA) pseudoaneurysm presenting with upper gastrointestinal (UGI) bleeding is rare but fatal, unless treated.
AIMS
We aimed to describe the clinical and endoscopic features of patients with UGI bleeding due to LGA pseudoaneurysms.
METHODS
We performed a computerized search of our hospital's de-identified clinical data warehouse to identify patients with UGI bleeding due to an LGA pseudoaneurysm between 2000 and 2020. Patients' electronic medical records and data on esophagogastroduodenoscopy and digital subtraction angiography were reviewed retrospectively.
RESULTS
Of 26 patients with an LGA pseudoaneurysm, six patients had UGI bleeding related to an LGA pseudoaneurysm. No patients had previous vascular diseases or pancreatitis. One patient had liver cirrhosis and a history of radiofrequency ablation for hepatocellular carcinoma, one had colon cancer, two had undergone abdominal surgeries, one had received chemoradiotherapy for renal cell carcinoma, and one had no intraabdominal diseases. Symptoms were hematemesis in two, hematochezia in the other two, and melena in the remaining two patients. Esophagogastroduodenoscopy showed a pulsating bulge in the ulcer in two and a large Dieulafoy's lesion-like structure in four patients. All patients achieved hemostasis by angioembolization.
CONCLUSION
LGA pseudoaneurysm should be suspected in UGI bleeding if a large Dieulafoy's lesion-like structure or a pulsating bulge in the ulcer is found at the lesser curvature of the gastric body on endoscopy and if the patient has any intra-abdominal inflammatory disease.
Topics: Humans; Aneurysm, False; Gastric Artery; Retrospective Studies; Ulcer; Gastrointestinal Hemorrhage; Gastrointestinal Diseases; Endoscopy, Gastrointestinal
PubMed: 36478315
DOI: 10.1007/s10620-022-07776-2 -
Emergency Radiology Mar 2008Pseudoaneurysms and arteriovenous fistulas of renal arteries are rare clinical lesions. Invasive renal procedures may lead to pseudoaneurysm or arteriovenous fistulas...
Pseudoaneurysms and arteriovenous fistulas of renal arteries are rare clinical lesions. Invasive renal procedures may lead to pseudoaneurysm or arteriovenous fistulas (AVFs). We report two pseudoaneurysms and arteriovenous fistula cases that were treated by transcatheter embolization with metallic coils. The first case is left main renal artery pseudoaneurysm after nephrectomy in a patient with a solid renal tumor. The second case is right main renal artery AVF with giant pseudoaneurysm after both gunshot injury and nephrectomy. On the basis of color Doppler sonography and computed tomography (CT) findings, cases were diagnosed as pseudoaneurysm after nefrectomy. Contrast-enhanced CT scans showed a hyperdense area within the hematoma consistent with pseudoaneurysm. Endovascular treatment with coil embolization succeeds to total occlusion in renal artery pseudoaneurysm. Delayed hemorrhage related to postnephrectomy may be life-threatening conditions because of diagnostic difficulties. AVF and pseudoaneurysm can be treated safely and successfully by transcatheter arterial embolization.
Topics: Adult; Aneurysm, False; Arteriovenous Fistula; Embolization, Therapeutic; Female; Humans; Male; Middle Aged; Nephrectomy; Renal Artery; Renal Veins; Tomography, X-Ray Computed
PubMed: 17593408
DOI: 10.1007/s10140-007-0646-5 -
Archives of Iranian Medicine Oct 2012Pseudoaneurysms arise from a disruption in the arterial wall and blood dissecting into the tissues around the damaged artery creating a perfused sac that communicates...
Pseudoaneurysms arise from a disruption in the arterial wall and blood dissecting into the tissues around the damaged artery creating a perfused sac that communicates with the arterial lumen. Trauma to the wall of the artery may lead to the development of a pseudoaneurysm. Post-traumatic pseudoaneurysm development is very rare in the peripheral artery and often is a consequence of venipuncture. We have reported the case of the four-month-old boy who developed a pseudoaneurysm following an accidental arterial puncture. In the antecubital area we noticed a pulsative mass and palpable thrill. The patient underwent a Doppler ultrasound examination and CT with contrast. Surgery was indicated. Following excision of the pseudoaneurysm, an end-to-end anastomosis was performed. Follow-up for four years revealed palpable peripheral pulsation at the wrist level. In the postoperative period, all ultrasound findings were normal. End-to-end anastomosis is preferable if it can be performed without tension or damage to the major collateral vessels.
Topics: Anastomosis, Surgical; Aneurysm, False; Arm; Brachial Artery; Humans; Infant; Male; Punctures; Tomography, X-Ray Computed; Ultrasonography, Doppler
PubMed: 23020543
DOI: No ID Found -
JOP : Journal of the Pancreas Mar 2011Visceral artery pseudoaneurysms are uncommon. They most commonly affect the splenic artery and are secondary to chronic pancreatitis. Giant pseudoaneurysms (5 cm or...
CONTEXT
Visceral artery pseudoaneurysms are uncommon. They most commonly affect the splenic artery and are secondary to chronic pancreatitis. Giant pseudoaneurysms (5 cm or larger in size) are rare and, until now, only 19 cases have been reported.
CASE REPORT
A 47-year-old chronic alcoholic and diabetic male presented with upper abdominal pain of 1-month duration without any other significant complaint. Computed tomography was performed which revealed features of chronic pancreatitis along with a splenic artery pseudoaneurysm measuring 7x4 cm in size. As the disease was confined to the body and tail of the pancreas, the patient underwent a distal pancreatectomy and splenectomy along with resection of the pseudoaneurysm with an uneventful postoperative course.
CONCLUSION
Splenic artery pseudoaneurysms, especially the giant variety, are uncommon. As they are most commonly secondary to chronic pancreatitis, they are better managed surgically which resolves the pseudoaneurysm as well as its underlying cause (i.e. chronic pancreatitis).
Topics: Abdominal Pain; Aneurysm, False; Diagnosis, Differential; Humans; Male; Middle Aged; Pancreatectomy; Pancreatitis, Chronic; Splenectomy; Splenic Artery; Treatment Outcome
PubMed: 21386651
DOI: No ID Found -
BMJ Case Reports Feb 2015Pseudoaneurysms of the hand are a rare presentation with potentially devastating consequences. We present a case of a hand pseudoaneurysm following a single episode of...
Pseudoaneurysms of the hand are a rare presentation with potentially devastating consequences. We present a case of a hand pseudoaneurysm following a single episode of blunt trauma that was effectively managed by simply suspending the patient's warfarin therapy.
Topics: Aged, 80 and over; Aneurysm, False; Anticoagulants; Contraindications; Hand Injuries; Humans; Male; Recovery of Function; Tomography, X-Ray Computed; Warfarin; Wounds, Nonpenetrating
PubMed: 25716045
DOI: 10.1136/bcr-2014-208750 -
International Journal of Oral and... Sep 2011False aneurysm or pseudoaneurysm is usually a result of blunt trauma causing laceration of part of the vessel wall and extravasation of blood into surrounding tissue,...
False aneurysm or pseudoaneurysm is usually a result of blunt trauma causing laceration of part of the vessel wall and extravasation of blood into surrounding tissue, followed by tamponade and clot formation. The wall of the pseudoaneurysm consists of perivascular fibrous tissue. Extracranial carotid artery pseudoaneurysms are relatively rare because trauma to external carotid artery branches usually results in total transection rather then partial laceration of blood vessel. Most affected branches are the superficial temporal artery, internal maxillary artery and distal facial artery, usually where they pass over the bone (zygoma or mandible). The authors present the case of a 78-year-old male patient with facial artery pseudoaneurysm in its proximal part in the submandibular region with no known evidence of trauma. To the authors' knowledge this is the first case in the literature of facial artery pseudoaneurysm without traumatic origin and the third case of proximal facial artery pseudoaneurysm. Although formation of pseudoaneurysm in the region of face and neck is rare, the authors consider that inclusion of pseudoaneurysm in the differential diagnosis of a neck mass is important.
Topics: Aged; Aneurysm, False; Biopsy, Fine-Needle; Diagnosis, Differential; Head and Neck Neoplasms; Humans; Male; Maxillary Artery; Submandibular Gland; Tomography, X-Ray Computed; Treatment Outcome
PubMed: 21497056
DOI: 10.1016/j.ijom.2011.03.010