Pseudoaneurysm after pertrochanteric femur fracture: a case report

Vascular injury as a consequence of dislocated bone fragments after hip fractures is a rare complication. We report a case of a 78-year-old male who developed a pseudoaneurysm of the profunda femoris artery during rehabilitation after intramedullary fixation for a pertrochanteric hip fracture. As th...

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Bibliographic Details
Published in:Skeletal radiology 2016-04, Vol.45 (4), p.575-578
Main Authors: de Raaff, C. A. L., van Nieuwenhuizen, R. C., van Dorp, T. A.
Format: Article
Language:English
Subjects:
Accidental Falls
Aged
Aneurysm, False - diagnostic imaging
Bone Nails
Case Report
Diagnosis
Diagnosis, Differential
Fatal Outcome
Femoral Fractures - diagnostic imaging
Femoral Fractures - surgery
Fracture Fixation, Internal - methods
Fractures
Humans
Imaging
Internal fixation in fractures
Male
Medicine
Medicine & Public Health
Nuclear Medicine
Orthopedics
Pathology
Postoperative Complications - diagnostic imaging
Radiology
Thrombin
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Summary:Vascular injury as a consequence of dislocated bone fragments after hip fractures is a rare complication. We report a case of a 78-year-old male who developed a pseudoaneurysm of the profunda femoris artery during rehabilitation after intramedullary fixation for a pertrochanteric hip fracture. As this procedure was minimally invasive, open reposition and fixation of the dislocated lesser trochanter were not performed. The pseudoaneurysm was diagnosed through duplex ultrasound and CT angiography and treated with thrombin injections and an endovascular Wallgraft covered stent. The imaging features are described in the article. Although a pseudoaneurysm is a rare complication after hip fractures, the development should be considered, in particular when symptoms such as pulsatile swelling or venous engorgement are presented.
ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-015-2315-1