Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 May;13(2):E350-2.
Epub 2013 May 9.

Sonographic detection of pseudoaneurysm in vascular injury in emergency department

Li-Jen Chien  1 , Yu-Jang Su, Chang-Chih Chen, Weide Tsai
Affiliations

Sonographic detection of pseudoaneurysm in vascular injury in emergency department

Li-Jen Chien et al. Sultan Qaboos Univ Med J. 2013 May.

Abstract

A 31-year-old man suffered from a stab wound to the lower extremity. The patient had a hard sign of a vascular injury (a diminished distal pulse) and therefore probably should have undergone operative repair, but refused. One week later, he returned to our emergency department with a painful right thigh swelling. Bedside sonography was used to detect a pseudoaneurysm. Emergency sonography is a fast, non-invasive, and rapid decision-making approach in emergency practice.

Keywords: Aneurysm, false; Case report; Drainage; Femoral artery; Taiwan; Ultrasonography; Wound.

PubMed Disclaimer

Figures

Figure 1:
Figure 1:
Computed tomography angiography showing a small breakdown of the superficial femoral artery (arrow).
Figure 2:
Figure 2:
The drainage after primary closure is in situ. The sonographic probe is kept in the axial view (left hand image) and in the coronal view (right hand image) of the right thigh. The vascular ultrasound showed an oval mass, highly suspected to be a pseudoaneurysm (PA) of the right femoral artery. F = femoral bone.
Figure 3:
Figure 3:
Computed tomography angiogram (axial view) of the right thigh. With an extravasated contrast medium, the white arrow indicates haematoma formation on the superficial femoral artery.
See this image and copyright information in PMC

References

    1. Gonzalez RP, Falimirski ME. The utility of physical examination in proximity penetrating extremity trauma. Am Surg. 1999;65:784–9. - PubMed
    1. Knudson MM, Lewis FR, Atkinson K, Neuhaus A. The role of duplex ultrasound arterial imaging in patients with penetrating extremity trauma. Arch Surg. 1993;128:1033–7. - PubMed
    1. Fry WR, Smith RS, Sayers DV, Henderson VJ, Morabito DJ, Tsoi EK, et al. The success of duplex ultrasonographic scanning in diagnosis of extremity vascular proximity trauma. Arch Surg. 1993;128:1368–72. - PubMed
    1. Kuzniec S, Kauffman P, Molnar LJ, Aun R, Puech-Leão P. Diagnosis of limbs and neck arterial trauma using duplex ultrasonography. Cardiovasc Surg. 1998;6:358–66. - PubMed
    1. Rieger M, Mallouhi A, Tauscher T, Lutz M, Jaschke WR. Traumatic arterial injuries of the extremities: Initial evaluation with MDCT angiography. AJR Am J Roentgenol. 2006;186:656–64. - PubMed

LinkOut - more resources