[Distal peroneal artery pseudoaneurysm].

Acta ortopedica mexicana Pub Date : 2021-05-01
M Cristiani-Winer, M Mangupli, L Allende-Bartolomé, L Aguirre-Gerardo, O Robles-Cristian
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Abstract

Introduction: Aneurysms and pseudoaneurysms of the arteries of the foot and ankle are rare clinical entities. In most cases occur within months or years of the initial trauma, complications in the aforementioned situations are very uncommon, however, they should be ruled out at medical check-ups. We will present a clinical case in which pseudoaneurysm of the Distal Peroneal Artery occurred as a result of a fracture- dislocation of the ankle.

Clinical case: Patient of 60 years of age with trauma in right ankle, his radiographic study of the right ankle evidencing fracture- dislocation of the same. Surgical treatment is decided four days after the injury. In the postoperative course with edema, circulatory changes of abnormal form that merited imaging complement and arteriography was performed which indicates the presence of pseudoaneurysm of approximately 28 × 30 mm in distal peroneal artery meriting specific treatment with adequate control of symptoms.

Conclusion: We believe that it is of the utmost importance the correct assessment and physical examination of patients undergoing ankle surgery in successive post-surgical controls to detect these types of complications early and treat them in time.

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[腓远端动脉假性动脉瘤]。
脚部和踝关节动脉的动脉瘤和假性动脉瘤是临床上罕见的疾病。在大多数情况下,发生在最初的创伤的几个月或几年内,上述情况的并发症是非常罕见的,但是,他们应该在医疗检查中排除。我们将提出一个临床病例,其中腓骨远端动脉假性动脉瘤发生的结果,骨折脱位的踝关节。临床病例:60岁患者右踝关节创伤,其影像学检查证实为右踝关节骨折脱位。手术治疗在受伤后4天决定。术后出现水肿时,循环系统出现异常变化,需要进行影像学检查和动脉造影,提示腓远端动脉存在约28 × 30 mm的假性动脉瘤,需要进行特异性治疗并充分控制症状。结论:我们认为在后续的术后对照中,对踝关节手术患者进行正确的评估和体格检查,及早发现并及时治疗此类并发症是至关重要的。
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