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. 2016:27:44-47.
doi: 10.1016/j.ijscr.2016.08.015. Epub 2016 Aug 10.

Radial artery aneurysm in the anatomical snuff box: A case report and literature review

Yohei Yamamoto  1 , Toshifumi Kudo  2 , Kimihiro Igari  2 , Takahiro Toyofuku  2 , Yoshinori Inoue  2
Affiliations

Radial artery aneurysm in the anatomical snuff box: A case report and literature review

Yohei Yamamoto et al. Int J Surg Case Rep. 2016.

Abstract

Introduction: Distal radial artery aneurysms of the hand are rare. We herein report a rare case of radial artery aneurysm in the anatomical snuff box.

Presentation of case: A 61-year-old woman presented with a chief complaint of a mass on the back of her left hand. A radiological examination showed a distal radial artery aneurysm. The patient underwent successful surgical excision of the aneurysm with radial artery ligation.

Discussion: We discuss the etiologies and surgical management of radial artery aneurysms in the anatomical snuff box according to the published literature.

Conclusion: An accurate diagnosis and a preoperative blood flow evaluation are necessary for appropriate surgical management of radial artery aneurysms.

Keywords: Anatomical snuff box; Aneurysm; Case report; Radial artery.

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Figures

Fig. 1
Fig. 1
Representative image of the left hand showing the mass at the anatomical snuff box.
Fig. 2
Fig. 2
(a) Angiography shows a saccular aneurysm of the radial artery. (b) Angiography with the radial artery compressed shows adequate ulnar and interosseous supply to the digital arteries.
Fig. 3
Fig. 3
An intraoperative photograph showing the aneurysm.
Fig. 4
Fig. 4
Pathological findings show the disruption of three layers of the arterial wall and an organized thrombus attached to its lumen (Elastica van Gieson stain 20×).
See this image and copyright information in PMC

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