International Journal of Recent Innovations in Medicine and Clinical Research
Official Publication of Innovative Education and Scientific Research Foundation
Official Publication of Innovative Education and Scientific Research Foundation
Print ISSN:-
Online ISSN:-2582-1075
Case Report
Author Details :
Volume : 5, Issue : 2, Year : 2023
Article Page : 17-21
https://doi.org/10.18231/j.ijrimcr.2023.009
Abstract
Introduction: Pseudoaneurysms develop when all three layers of the artery wall are damaged, which causes blood to extravagate from the vessel and connect with the vessel lumen. Adventitia creates the fake sac's inner lining; over time, the hematoma is replaced by fibrous scar tissue, developing a false aneurysm. The fake aneurysm may grow and invade nearby structures, potentially rupturing later. Upper limb peripheral artery pseudoaneurysms are rare, with only a few case reports described in the literature and the most infrequent location being the radial artery.
Presentation of Case: A 42-year-old male patient was admitted to our hospital with a chief complaint of pain and an open wound on his left hand after a motorcycle accident. The patient underwent debridement and primary closure for the wound. Eleven days later, the patient returned with a chief complaint of swelling on the injured side with vulnus punctum and bloody discharge at first web. Forearm MRI with contrast revealed a pocket-shaped lesion with internal hi-flow (flow void) in the left volar side associated with the left radial artery. The patient was diagnosed with a rupture of pseudoaneurysm from the left superficial branch of the radial artery and underwent evacuation of pseudoaneurysm and hematoma and ligation of the superficial branch of the radial artery.
Conclusion: Despite being relatively uncommon, post-traumatic pseudoaneurysm of the superficial branch of the radial artery can put patients in severe danger and discomfort after hand trauma. Both emergency physicians and surgeons should be aware of the risk for pseudoaneurysm if a patient appears with a pulsatile mass following trauma.
Keywords: Pseudoaneurysm, hand trauma, radial artery, pulsatile mass.
How to cite : Santoso* A R B, Huwae T E C J, Adiwignyo D D, Post-Traumatic Pseudoaneurysm of Superficial Branch of Radial Artery: A Case Report and Literature Review. Int J Recent Innov Med Clin Res 2023;5(2):17-21
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