A 31-year-old man was admitted with 2 months’ history of right calf pain and tenderness. On palpation a pulsating swelling was present, and the circumference of the right calf was 10 cm greater than that of the left calf. The ankle-brachial index of the right leg was 0.8, the pulse of the posterior tibial artery was diminished, and that of the dorsalis pedis absent. There was no history of recent trauma; however, the patient’s medical history included a medial mid calf stab wound 4 years ago. Color Duplex scan demonstrated a false aneurysm of the posterior tibial artery. Computed tomography (CT) was performed to better image the false aneurysm, and its maximum diameter was measured at 8 cm (Fig 1, Fig 2). On-table arteriography and the subsequent surgical exploration confirmed the presence of a large pseudoaneurysm of the posterior tibial artery (Fig 3, Fig 4). The pseudoaneurysm was totally removed, the posterior tibial artery was repaired with an end-to-end anastomosis, and the patient made an uneventful recovery.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Delayed presentation of 50 years after a World War II vascular injury with intraoperative localization by Duplex ultrasound of a traumatic false aneurysm.J Trauma. 1997; 43: 159-161
- Fragment wound pseudoaneurysm presenting 54 years after injury.Curr Surg. 2000; 57: 600-602
- Traumatic peroneal artery pseudoaneurysm.J Vasc Surg. 2004; 39: 912
- Successful closure of large pseudoaneurysm of peroneal artery using transluminal temporary occlusion of the neck with the catheter.Eur Radiol. 2001; 11: 1206-1209
Accepted: September 27, 2004
This section features outstanding photographs of clinical materials selected for their educational value or message, or possibly their rarity. The images are accompanied by brief case reports (limit 2 typed pages, 4 references). Our readers are invited to submit items for consideration.
© 2006 Mosby, Inc. Published by Elsevier Inc. All rights reserved.