Post-Traumatic Dorsalis Pedis Pseudo-aneurysm Caused by Crush Injury

This is the report of an unusual case of a dorsalis pedis artery pseudo-aneurysm resulting from trauma in a 61 year old farmer.

One year previously, the patient's right foot had been crushed under a tractor wheel. The patient complained of pain and pulsatile soaring swelling on his right foot which he noticed two months before presentation. Radiological examinations revealed a pseudo-aneurysm of the dorsalis pedis artery. Resection of the aneurysm was completed without complications. Pathological findings confirmed an aneurysm of traumatic rather than atherosclerotic aetiology.

The patient remains under follow up without ischaemia. False aneurysms should be treated by surgical or endovascular intervention when they are detected.