2013
DOI: 10.1177/1460408613507687
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Peroneal artery pseudoaneurysm after surgical stabilisation of a Weber C trimalleolar ankle fracture: A case report and review of literature

Abstract: A case of post-traumatic pseudoaneurysm of the peroneal artery is presented. This occurred after standard open reduction and internal fixation of a Weber type C trimalleolar fracture of the left ankle in a 33-year-old man. The pseudoaneurysm was diagnosed 12 weeks post-operatively when the patient attended the pre-assessment clinic for the removal of the syndesmosis screw. Diagnosis was confirmed on ultrasonography, and the anatomical site was confirmed by a digital subtraction angiogram. The pseudoaneurysm wa… Show more

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Cited by 3 publications
(8 citation statements)
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“…No case reports were found in the literature of traumatic pseudoaneurysms of the lower limb as a complication arising from compartment syndrome or due to external fixator screw fixation and of proximal peroneal artery pseudoaneurysms. 1 Traumatic pseudoaneurysms may present either in the acute setting (in a majority, within a few weeks after the surgical intervention or trauma) or as a late sequalae (less common, presenting after many weeks to years). A high index of suspicion is needed by the clinicians when evaluating a patient presenting with bleeding from an external fixator pin site and a traumatic pseudoaneurysm should be excluded using angiography or colour Doppler ultrasound, as the presence of distal pulses does not preclude a pseudoaneurysm or other vascular complications.…”
Section: Discussionmentioning
confidence: 99%
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“…No case reports were found in the literature of traumatic pseudoaneurysms of the lower limb as a complication arising from compartment syndrome or due to external fixator screw fixation and of proximal peroneal artery pseudoaneurysms. 1 Traumatic pseudoaneurysms may present either in the acute setting (in a majority, within a few weeks after the surgical intervention or trauma) or as a late sequalae (less common, presenting after many weeks to years). A high index of suspicion is needed by the clinicians when evaluating a patient presenting with bleeding from an external fixator pin site and a traumatic pseudoaneurysm should be excluded using angiography or colour Doppler ultrasound, as the presence of distal pulses does not preclude a pseudoaneurysm or other vascular complications.…”
Section: Discussionmentioning
confidence: 99%
“…Case reports on pseudoaneurysms of the peroneal artery, which are rare in the literature, are described in subjects between 17 years and 71 years, with a majority being less than 30 years 1 with ligament sprains, bimalleolar fractures and distal tibia/fibular fractures being the commonest associated injury.…”
Section: Discussionmentioning
confidence: 99%
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“…The diagnosis was confirmed by ultrasonography, and the anatomical site of the lesion was demonstrated by a digital subtraction angiogram. The pseudoaneurysm was successfully coiled [11].…”
Section: Discussionmentioning
confidence: 99%