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[False traumatic aneurysm of the ulnar artery in a teenager]
M Nour1, H Talha1, R El Idrissi2
1Service des urgences chirurgicales pédiatriques, hôpital des enfants, boulevard Ibn Rochd, 10100 Souissi, Rabat, Maroc; Université Mohamed V - Souissi, Rabat, Maroc.
Abstract:
Most aneurysms of hand arteries are traumatic. It is a generally rare unrecognized pathology. Complications are serious (embolism and thromboses of interdigital arteries). Two main causes can be recalled: acute trauma, with development of a false aneurysm; repeated microtrauma (hand hammer syndrome), with occurrence of an arterial dysplasic aneurysm. The diagnosis is based on the presence of a pulsatile mass, with finger dysesthesia, unilateral Raynaud's phenomenon. It is confirmed by duplex Doppler. Arteriography is necessary but can be replaced by an angio-MR. We report a case of false traumatic aneurysm of the ulnar artery in a teenager. This case illustrates this rare condition and opens discussion on therapeutic options.
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