Iatrogenic tibial pseudoaneurysm following below-knee amputation

Tibial vessel injury during lower extremity amputation has not been reported, despite the obvious proximity of these vessels to the fibula and tibia. We present a case of acute pseudoaneurysm with arteriovenous fistula of the posterior tibial vessels following amputation, due to (unrecognized) arterial and venous injury due to fibular periosteal elevation.