a b s t r a c tRetained foreign bodies and penetrating injuries to the plantar aspect of the foot are a common childhood problem. Inflammations or infections are common complications whereas vascular injury and pseudoaneurysm' formation are rare. Three cases of post -traumatic lateral plantar artery (LPA) pseudoaneurysms due to foot lacerations by glass have been reported in children. This case is a six year-old boy who presented with two episodes of bleeding after a foot laceration sustained when he stepped on glass. CT angiography showed an LPA pseudoaneurysm that was successfully managed by surgery. It should be recognized that penetrating injuries to the plantar aspect of the foot, may be associated with vascular injury and pseudoaneurysm' formation. Appropriate investigations and management is important to prevent further complications.Ó 2015 The Authors. Published by Elsevier Inc. All rights reserved.Foreign bodies (FB) and penetrating injuries in the plantar aspect of the foot are a common childhood problem. The most common complications, if not properly treated, are infections and inflammatory reactions. Vascular complications and pseudoaneurysms are rare. Lateral plantar artery (LPA) pseudoaneurysms have been reported following plantar fasciotomy, calcaneal osteotomy, calcaneal fracture, foot lacerations from glass and nail prick injuries, and after corrective foot deformities in children [1e3]. Three reports of LPA pseudoaneurysms in children were found in the English medical literature, all had sustained foot lacerations from glass injury [2,4]. Herein we report a fourth case which occurred in a 6-year-old child.
Amputation is most closely associated with blunt, lower limb injuries associated with vascular trauma. These vascular injuries require a special attention to prevent life and limb loss. Patient outcomes can also be improved by organizing vascular trauma data into appropriate systems to facilitate future studies.
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