A case report: Missed posterior tibial artery pseudoaneurysm in a child post trauma

Posterior tibial artery (PTA) pseudoaneurysms are considered a rare clinical presentation in children, and they often follow a history of trauma to the ankle. We present a case of a 3-year-old girl with an uncommon location of a PTA pseudoaneurysm post a penetrating trauma to the feet. Initially managed with noninvasive techniques, she later underwent ligation of the medial branch of the right PTA. Pseudoaneurysms are likely to occur post traumatic injuries and the location in which they form may vary. Although the possibility of rupture is low, reducing the risk of hemorrhage is important. Thus, a high clinical suspicion is indicated as diagnostic imaging and management should be optimal.