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Traumatic pseudoaneurysm in a wrestler.

A J Annenberg1, P S Vaccaro, W A Zuelzer

  • 1Department of Surgery, Ohio State University College of Medicine, Columbus.

Annals of Vascular Surgery
|January 1, 1990
PubMed
Summary
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Blunt trauma can cause pseudoaneurysms, a rare condition presenting as a pulsatile mass. Prompt diagnosis and surgical repair of superficial femoral artery pseudoaneurysms ensure full recovery.

Area of Science:

  • Vascular Surgery
  • Trauma Surgery
  • Diagnostic Imaging

Background:

  • Pseudoaneurysms are rare vascular injuries often resulting from penetrating trauma.
  • Blunt trauma is an infrequent cause of pseudoaneurysms, making them a diagnostic challenge.
  • This case highlights a delayed presentation of pseudoaneurysm following blunt force injury.

Observation:

  • An 18-year-old male presented with a four-year history of a pulsatile mass in the medial distal thigh.
  • The mass resulted from blunt trauma sustained during a wrestling match.
  • Diagnostic imaging, including MRI and arteriography, confirmed a pseudoaneurysm of the superficial femoral artery.

Findings:

  • Exploratory surgery revealed a pseudoaneurysmic thrombus within the superficial femoral artery.

Related Experiment Videos

  • The superficial femoral artery was successfully repaired using a reversed saphenous vein interposition graft.
  • Histopathological examination confirmed the diagnosis of pseudoaneurysm.

    • Implications:

    • Pseudoaneurysms should be included in the differential diagnosis for pulsatile masses, even after blunt trauma.
    • Timely diagnosis and surgical intervention are crucial for managing traumatic pseudoaneurysms.
    • Successful surgical repair can lead to complete patient recovery and restoration of vascular function.