False aneurysm of the palmar arch in a child

Giant aneurysm of the ulnar artery in the palm treated by resection and microvascular reconstruction

“…In most previous reports, the size of the palmar aneurysm was 2 cm or less in diameter [1,2,4Á7], although a false aneurysm in the case of a child was reported to measure 3 )4 cm [3]. However, the aneurysm in the photograph looked smaller than our current one.…”

Pseudoaneurysm in the Hand of a Three-year-old Boy: A Case Report

“…Aneurysm diagnosis depends on a variety of imaging choices. In many of the reported cases in the literature, angiography was used to make the diagnosis (1,4,5). In this case, however, duplex ultrasonography alone was employed to correctly diagnose the pseudoaneurysm.…”

“…This pseudoaneurysm was adherent to the superficial palmar arch via a tiny pedicle that was able to be primarily excised and oversewn. In other cases, however, the lesion more completely involves and distorts the normal vasculature, and subsequent arterial reconstruction is mandated to restore normal flow and function to the hand (4,5). Regardless, restoration or preservation of normal bloodflow to the distal extremity remains paramount, and either method has the potential to yield beneficial results.…”

“…Pseudoaneurysm of the superficial palmar arch is a rare entity, with only a few case reports described in the literature (1)(2)(3)(4)(5)(6)(7). Most known cases involve previous history of trauma to the area, and most occur within the adult patient population (1,2,7).…”

Pseudoaneurysm: an unusual cause of post-traumatic hand swelling

“…The false sac inner lining is formed by adventitia and over time the haematoma is replaced by fibrous scar tissue resulting in a false aneurysm. This compares to a true aneurysm in which there is dilation of all layers of the vessel wall 2 3. The false aneurysm can continue to expand into adjacent structures resulting in imminent rupture.…”