Hegde Abheesh V, Gupta Sajal, Joshi Sunil, Mitta Nivedita, Rozario Anthony
Department of General Surgery, St. John's Medical College Hospital, Sarjapur - Marathahalli Rd, Beside Bank of Baroda, John Nagar, Koramangala, Bengaluru, Karnataka 560034, India.
Department of Urology & Renal Transplantation, Father Muller Medical College, Kankannady Road, Mangalore 575002, Karnataka, India.
J Surg Case Rep. 2025 Aug 28;2025(8):rjaf618. doi: 10.1093/jscr/rjaf618. eCollection 2025 Aug.
Vascular injuries can initially present with hemorrhage or limb-threatening conditions, and may later lead to complications such as pseudoaneurysms or arteriovenous fistulas. Pseudoaneurysms are a known complication of arterial injuries resulting from trauma. Proper management following trauma is crucial in preventing pseudoaneurysm development. Here we report a case of pseudoaneurysm arising from an unnamed branch of posterior tibial artery eroding bone in a 4-year old boy who presented with a non-pulsatile, non-tender swelling on the medial aspect of left leg. Early identification of these complications is crucial for preserving the limb, as demonstrated by the patient's uneventful postoperative recovery.
血管损伤最初可能表现为出血或危及肢体的情况,随后可能导致诸如假性动脉瘤或动静脉瘘等并发症。假性动脉瘤是创伤导致动脉损伤的一种已知并发症。创伤后的妥善处理对于预防假性动脉瘤的形成至关重要。在此,我们报告一例4岁男孩的病例,其胫后动脉一支无名分支形成的假性动脉瘤侵蚀骨质,该男孩左腿内侧出现一个无搏动、无压痛的肿胀。如患者术后恢复顺利所示,早期识别这些并发症对于保全肢体至关重要。