Abstract:
Pseudoaneurysm of the lateral perforating branch of the peroneal artery is exceedingly rare. To our knowledge, eight cases are described in the current literature, with five occurring as a result of trauma and the remainder being iatrogenic. We present a pseudoaneurysm of the lateral perforating peroneal artery in a professional athlete following an inversion-plantarflexion injury of the ankle. He described persistent pain and fluctuant swelling to the lateral aspect of the right ankle with sudden onset of increased pain and swelling 10 days after the initial injury. Arterial duplex identified a pseudoaneurysm of the right lateral perforating peroneal artery. Endovascular coil embolisation of the aneurysm resulted in almost immediate improvement in symptoms. The patient has since regained full function of the affected ankle. This case report highlights the necessity for clinicians to maintain a high index of suspicion in order to promptly investigate and appropriately manage this pathology.
摘要:
腓骨动脉外侧穿孔分支的假性动脉瘤极为罕见。据我们所知,目前的文献中描述了八例,其中五个是由于创伤而发生的,其余的是医源性的。我们介绍了专业运动员在踝关节内翻-pt屈损伤后外侧穿腓骨动脉的假性动脉瘤。他描述了右脚踝外侧的持续性疼痛和波动性肿胀,在初次受伤后10天突然出现疼痛和肿胀。动脉双重检查确定了右外侧穿通腓骨动脉的假性动脉瘤。动脉瘤的血管内线圈栓塞几乎立即改善了症状。此后,患者恢复了受影响的脚踝的全部功能。此病例报告强调了临床医生必须保持较高的怀疑指数,以便及时调查和适当管理这种病理。