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

Traumatic pseudo-aneurysm in a 5-year-old child, case report and literature review

INTRODUCTION

Pseudo-aneurysm can be formed by iatrogenic factors, as well as non-iatrogenic factors. In the pediatric population, there have only been a few recorded incidences. The work has been reported in line with the SCARE criteria.

CASE PRESENTATION

In our case, a five-year-old male who was medically free presented with a complaint of left foot swelling after a one-month history of glass trauma and two episodes of bleeding. Upon presentation to our facility, an examination of the left foot's dorsum revealed a 2.0 ∗ 2.0 cm pulsatile non-tender swelling with no symptoms of infection, and a healed scar. A lower limb arterial doppler ultrasonography was performed, and it revealed a 1 cm partially thrombosed pseudoaneurysm protruding from the Dorsalis Pedis Artery (DPA).

CLINICAL DISCUSSION

Lower extremity peripheral aneurysms, whether true aneurysm or a pseudo-aneurysm, are uncommon in adults and usually occur in the popliteal artery (70 %), femoral artery (20 %), and only (10 %) of aneurysms present in other locations (Dahman et al., 2021). This Condition is even extremely unusual in pediatric population, where only a few cases have been reported. Doppler ultrasonography was used as a radiological examination and a diagnostic approach in the case of our patient. Due to the rarity of this illness, there are no clear guidelines for approaching patients with similar symptoms.

CONCLUSION

A dorsalis pedis pseudoaneurysm should be considered in any traumatic injury that has resulted in a hematoma in the dorsum of the foot that is not healing. In our case, a primary aneurysm excision with DPA ligation appears to be a safe procedure with no effect on foot perfusion or function.

Sonography of Lateral Plantar Artery Pseudoaneurysm Caused by Knife Cut Injury

Pseudoaneurysms of the lateral plantar artery (LPA) are rare. In this case study, a very rare case of a pseudoaneurysm of the LPA, caused by a knife cut, is reported. A female adult patient presented with a growing lump in the arch of the left foot for 4 weeks. She had an accidental steak knife stab her on the arch of the left foot and had the cut sutured 5 weeks prior. The physical examination revealed a warm, pulsatile, and tender lump without a clear border deep to the scar in the lateral arch. Duplex ultrasonography (DUS) detected a cavity with the wall uneven in thickness and the outer wall undistinguished. Doppler demonstrated a typical Yin-yang sign inside the cavity and a neck-like structure connecting the cavity to an artery along the path of the LPA, suggesting that this was a LPA pseudoaneurysm, caused by penetration trauma. Later, the patient received priority surgery to have the pseudoaneurysm repaired.

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

A 65-year-old woman presented to our institution with 4 months of severe pain on the plantar aspect of her foot. She had chronic foot pain secondary to Morton's neuroma and had recently undergone neurectomy. She was found to have a large pseudoaneurysm on the plantar aspect of her foot. She was taken to the operating room for an open repair from a plantar approach. We obtained the patient's consent to publish this case.

Traumatic Penile Pseudoaneurysm After Straddle Injury Presenting With Life Threatening Anemia: A Unique Case and a Diagnostic Challenge

Partial urethral disruption after blunt perineal trauma can be initially managed with urethral catheterization. Lower urinary tract symptoms after catheter removal should raise suspicion for urethral stricture and requires further investigation. Lesser known complications require high index of suspicion to prevent life threatening sequelae. In this report, we describe a case of blunt perineal trauma and partial urethral disruption in a pediatric patient presenting with refractory anemia due to a penile artery pseudoaneurysm. We discuss an unusual presentation, challenging diagnosis and management of this rare condition.