Related Experiment Video
Updated: Apr 2, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
A ruptured giant femoral artery aneurysm presents as DVT
Stuthi Iyer1, Edward Oh2, Yash Pandya2
1University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Abstract:
Femoral artery aneurysm and rupture are rare. Deep vein thrombosis (DVT) from compression typically aids in detection, yet this aneurysm evaded ultrasound. A 74-year-old male with right thigh pain and swelling was diagnosed with right popliteal and femoral vein DVT. He presented to the emergency department with worsening pain and swelling in the medial thigh despite anticoagulation. Imaging revealed a 12-cm ruptured superficial femoral artery (SFA) aneurysm. A SFA to below-knee popliteal artery bypass was performed without postoperative complications. Vascular labs and practitioners should consider peripheral aneurysm as a rare but important cause for DVT that is unresponsive to anticoagulation.
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