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Gunshot-Induced Popliteal Artery Pseudoaneurysm: A Case Report
Elizabeth Alcala1, José Manuel García Romero1, Pedro Hugo Guerrero Morales1
1Surgery, Hospital General de Querétaro, Querétaro, MEX.
Cureus
|July 11, 2025
Summary
Popliteal artery pseudoaneurysms from gunshot wounds are rare but dangerous. Prompt CT angiography and surgical repair are crucial for limb salvage and preventing complications.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Diagnostic Imaging
Background:
- Popliteal artery injuries, though uncommon, pose a significant risk of limb loss.
- Pseudoaneurysms from penetrating trauma, like gunshot wounds, are rare and can present with delayed symptoms.
Observation:
- A 46-year-old male presented with a gunshot wound to the thigh.
- CT angiography revealed a pseudoaneurysm with over 50% transection of the popliteal artery.
Findings:
- Urgent surgical repair involving thrombectomy and polytetrafluoroethylene graft placement was performed.
- The patient achieved full neurovascular recovery post-intervention.
Implications:
- Clinical examination alone is insufficient for diagnosing vascular injuries; high suspicion and imaging are vital.
- CT angiography is essential for equivocal limb trauma cases to ensure prompt diagnosis and treatment.
- Advances in imaging and grafting materials improve outcomes in complex popliteal artery injuries.
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