Post-Traumatic Dorsalis Pedis Pseudo-aneurysm Caused by Crush Injury

Abstract

Introduction This is the report of an unusual case of a dorsalis pedis artery pseudo-aneurysm resulting from trauma in a 61 year old farmer. Report One year previously, the patient's right foot had been crushed under a tractor wheel. The patient complained of pain and pulsatile soaring swelling on his right foot which he noticed two months before presentation. Radiological examinations revealed a pseudo-aneurysm of the dorsalis pedis artery. Resection of the aneurysm was completed without complications. Pathological findings confirmed an aneurysm of traumatic rather than atherosclerotic aetiology. Discussion The patient remains under follow up without ischaemia. False aneurysms should be treated by surgical or endovascular intervention when they are detected.

Revascularization of a Crushed Foot and Ankle Mortis

“…Primary dorsalis pedis reconstruction is not well described in the current literature. There are several case reports that describe aneurysmal disease after a traumatic crush injury, arterial access complications, and even attributed to repetitive footwear trauma [12][13][14][15][16]. Long-term patency conclusions from this data are difficult to infer; however, saphenous vein bypass to the dorsalis pedis in atherosclerotic disease has been described.…”