Profuse bleeding from traumatic lateral plantar artery pseudoaneurysm after glass foot injury diagnosed by CT angiography: A case report

Abstract

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.

Open repair of a plantar artery pseudoaneurysm after Morton's neurectomy

“…3 Lateral plantar artery PSA has been seen in both adults and children, with children usually presenting after traumatic injury or retained foreign body. 5,6 Of note, PSA in reported cases has been delayed in nature after the initial insult or presentation as similarly seen in our patient. In adults, lateral plantar artery PSAs tend to occur after trauma or surgical procedures, including orthopedic surgery for plantar fasciitis.…”

Sonography of Lateral Plantar Artery Pseudoaneurysm Caused by Knife Cut Injury

“…In the meantime, the wall of the cavity became fibrotic. 2,3 There are multiple imaging modalities for the diagnosis of a pseudoaneurysm. DUS is usually the first choice.…”

“…3 Hence, they are used when precise measurements, imaging of the pseudoaneurysm anatomy, and the collateral circulation assessment are needed before surgery. 3…”

“…However, they are either radiation exposure or limited accessibility, and need intravenous contrast media. 3 Hence, they are used when precise measurements, imaging of the pseudoaneurysm anatomy, and the collateral circulation assessment are needed before surgery. 3 The complications of a pseudoaneurysm occur when it grows large enough.…”

“…Only a few cases have been reported in children and just two cases in adults. [2][3][4][5][6][7] They all were caused by glass penetration except one by a nail. In this report, an adult LPA pseudoaneurysm caused by a knife cut is presented.…”