Femoral Pseudoaneurysm

Abstract

Introduction Pseudoaneurysms, are like a repermeabilizedand encapsulated throbbing bruise, in communication with light from a damaged vessel. The difference between pseudoeaneurysm and aneurysm is that the latter is histologically formed by all arterial layers. All pseudoaneurysms have in common the rupture ofthe arterial wall with blood extravasation within the tissues surrounding the artery, the result is the formation of a fibrous tissue capsule that grows progressively due to blood pressure. There is a clinical case of inadvertent vascular injury, per penetrating trauma to the left thigh seen in the emergency area and surgery, valued as a simple wound that was performed a surgical cleaning and suture of it, even for doctors in the first contact overlooked the vascular damage as it had distal pulses, the lesion subsequently presented with thigh oedema and palpable throbbing mass which I need to resolve surgically due to the severity of the lesion in the arterial wall; they also required resection and bypass with native vessels.The pseudoaneurysm as a vascular lesion usually goes unnoticed, it is necessary to educate the doctors of first contact in the search for this pathology when there is a history of trauma. Diagnostic aids (ultrasound, arteriography, angioTAC) are necessary for diagnostic confirmation andsurgical planning. The longer evolution time is related to greater technical difficulty in solving the problem.

Objective: Describe the clinical case of a patient with femoral pseudoaneurysm..

Material and methods: Retrospective descriptive study, clinical case presentation.

Results: The clinical case of a 23-year-old patient, with inadvertent vascular injury, is presented by penetrating trauma to the left thigh served in the emergency area and surgery as a simple wound to which a surgical cleaning and suture of the same was performed , even for doctors during first contact they did not notice the vascular damage as it had distal pulses, the injury subsequently presented with thigh edema and palpable throbbing mass which I need to resolve surgically due to the severity of arterial wall injury; they also required resection and bypass with native vessels.

Conclusions: Any traumatic injury should be considered high probability of vascular injury until proven otherwise, with an adequate medical and kinematic history of trauma, identification of the type of injury, laboratory tests, imaging for a avoid the pseudoaneurysm which is the main complication of initial mismanagement.