Assefa Rahel Abebayehu, Zeleke Henok T/Silassie, G/Giorgis Dawit
Department of Surgery, St. Peter's Specialized Hospital, 1000 Addis Ababa, Ethiopia.
Department of Surgery, College of Health Sciences, Addis Ababa University, 1000 Addis Ababa, Ethiopia.
J Surg Case Rep. 2024 Dec 30;2025(1):rjae821. doi: 10.1093/jscr/rjae821. eCollection 2025 Jan.
Deep femoral artery aneurysms are very rare; particularly when isolated and occur simultaneously in both limbs. We report such a case of a misdiagnosed 16-year-old male presenting after hematoma evacuation was attempted for painful swelling in the left groin. Once the diagnosis was confirmed by computed tomography angiography (CTA), an emergency aneurysmectomy with deep femoral artery (DFA) ligation was performed on the left limb. Subsequently, an elective aneurysmectomy with DFA ligation was done for the contralateral limb during the same admission, with no postoperative complications. Echocardiography, performed with suspicion for infective endocarditis as the cause for possible mycotic aneurysm, revealed Chronic Rheumatic Valvular Heart Disease, without evidence of vegetations, abscesses, or intracardiac thrombi. This case report seeks to discuss the patient's clinical presentation, CTA findings, and surgical management in a low-resource setting, underscoring the risks of this rare condition if misdiagnosed.
股深动脉瘤非常罕见；尤其是孤立性且双下肢同时发生的情况。我们报告了这样一例病例，一名16岁男性被误诊，在尝试对左腹股沟疼痛性肿胀进行血肿清除术后前来就诊。经计算机断层血管造影（CTA）确诊后，对左下肢进行了急诊股深动脉（DFA）结扎动脉瘤切除术。随后，在同一住院期间，对侧肢体进行了择期DFA结扎动脉瘤切除术，术后无并发症。因怀疑感染性心内膜炎是可能的霉菌性动脉瘤的病因而进行的超声心动图检查显示为慢性风湿性瓣膜性心脏病，未发现赘生物、脓肿或心内血栓。本病例报告旨在讨论在资源匮乏地区该患者的临床表现、CTA检查结果及手术治疗，强调这种罕见疾病误诊后的风险。
