Thomas Aaron, Han Ga-Ram, Soh Ina, Komara James
Mayo Clinic, Department of Emergency Department, Phoenix, Arizona.
Mayo Clinic, Department of Vascular Surgery, Phoenix, Arizona.
Clin Pract Cases Emerg Med. 2023 Nov;7(4):253-256. doi: 10.5811/cpcem.1458.
Traumatic pseudoaneurysms of the limbs are rare, with few cases described in vascular literature. Treatment is variable and dependent upon presentation and impact on local anatomy affected. Rapid assessment can be performed with ultrasound and assist in treatment decisions. We describe a case of traumatic anterior tibial artery pseudoaneurysm, which was rapidly identified with point-of-care ultrasound leading to definitive surgical management.
A 37-year-old female presented to the emergency department for evaluation of right lower extremity pain and swelling following an exercise session with weighted squats and thigh abductor machines. She was found to have an anterior tibial artery pseudoaneurysm on point-of-care ultrasound, later confirmed with formal ultrasound as well as angiography, and was admitted for surgical management.
Traumatic pseudoaneurysms can rapidly be differentiated from other mass lesions and contributors to compartment syndrome using point-of-care ultrasound.
四肢创伤性假性动脉瘤较为罕见，血管文献中描述的病例很少。治疗方法多样，取决于临床表现以及对受影响局部解剖结构的影响。超声可进行快速评估，并有助于治疗决策。我们报告一例创伤性胫前动脉假性动脉瘤病例，通过床旁超声迅速确诊，进而进行了确定性手术治疗。
一名37岁女性因在进行负重深蹲和大腿外展机锻炼后出现右下肢疼痛和肿胀而到急诊科就诊。床旁超声检查发现她患有胫前动脉假性动脉瘤，随后经正式超声检查及血管造影确诊，并入院接受手术治疗。
使用床旁超声可迅速将创伤性假性动脉瘤与其他肿块性病变及骨筋膜室综合征的病因区分开来。
