1
|
Huang H, Zhang X, Wang Y, Tang H, Huang X, Zhang H, Li D. Popliteal artery pseudoaneurysm and secondary ipsilateral deep vein thrombosis caused by an exostosis in a mature adult. J Vasc Surg Cases Innov Tech 2024; 10:101375. [PMID: 38130363 PMCID: PMC10731611 DOI: 10.1016/j.jvscit.2023.101375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 11/06/2023] [Indexed: 12/23/2023] Open
Abstract
Exostosis (also known as osteochondroma) is the most common benign bony lump of young people, usually arising at the distal femur. Vascular complications associated with exostoses are rare and include true aneurysm or pseudoaneurysm formation, deep vein thrombosis, arteriovenous fistula, and arterial insufficiency of the limbs. Few case reports describe pseudoaneurysms resulting from exostoses in mature adults, and no consensus has been reached regarding the optimal therapy. We report the case of a 51-year-old male patient complaining of persistent right thigh pain with a pulsatile mass and right calf swelling, without a history of trauma or hereditary multiple exostoses. The diagnosis was confirmed by computed tomography angiography, which showed a pseudoaneurysm of the popliteal artery resulting from an exostosis on the lateral aspect of the distal femur. A Doppler ultrasound examination confirmed popliteal vein thrombosis caused by the compression of the pseudoaneurysm. Surgical treatment consisted of removing the exostosis, excision of the pseudoaneurysm, and an end-to-end anastomosis. The deep vein thrombosis was treated with rivaroxaban for 3 months. The patient was discharged after 6 days and followed up for 6 months with satisfactory results.
Collapse
Affiliation(s)
- He Huang
- Department of Vascular Surgery, The First People's Hospital of Lianyungang, Lianyungang, China
| | - Xiaosong Zhang
- Department of Vascular Surgery, The First People's Hospital of Lianyungang, Lianyungang, China
| | - Yusheng Wang
- Department of Vascular Surgery, The First People's Hospital of Lianyungang, Lianyungang, China
| | - Hao Tang
- Department of Vascular Surgery, The First People's Hospital of Lianyungang, Lianyungang, China
| | - Xiaoming Huang
- Department of Vascular Surgery, The First People's Hospital of Lianyungang, Lianyungang, China
| | - Honggang Zhang
- Department of Vascular Surgery, The First People's Hospital of Lianyungang, Lianyungang, China
| | - Da Li
- Department of Vascular Surgery, The First People's Hospital of Lianyungang, Lianyungang, China
| |
Collapse
|
2
|
Jelti O, El Alaoui O, Lachkar A, Abdeljaouad N, Yacoubi H. Osteochondroma of Distal Femur Managed With Complete Excision: A Case Report. Cureus 2024; 16:e51714. [PMID: 38318570 PMCID: PMC10839421 DOI: 10.7759/cureus.51714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2024] [Indexed: 02/07/2024] Open
Abstract
Osteochondromas are benign bone tumors that usually occur between the ages of 10 and 30, with no marked gender preference. These lesions result from the separation of the epiphyseal growth plate and are categorized as growth plate development abnormalities rather than true neoplasms. It is important to note that long-term solitary osteochondromas can evolve into osteosarcomas, with chondrosarcoma being the most common among them. However, the risk of recurrence is considerably reduced if the tumor is completely resected from its original site, with no residual perichondrium or cartilage cap left in place. In this context, a 29-year-old man with osteochondroma in the distal femur was successfully treated with complete resection, showing a favorable evolution.
Collapse
Affiliation(s)
- Ousama Jelti
- Orthopaedics, Mohammed VI University Hospital, Oujda, MAR
| | - Oussama El Alaoui
- Orthopaedics and Traumatology, Centre Hospitalier Universitaire (CHU) Mohammed VI, Oujda, MAR
| | - Adnane Lachkar
- Traumatology and Orthopedics, Faculty of Medicine and Pharmacy, Mohammed VI University Hospital, Mohammed First University, Oujda, MAR
| | - Najib Abdeljaouad
- Traumatology and Orthopedics, Faculty of Medicine and Pharmacy, Mohammed VI University Hospital, Mohammed First University, Oujda, MAR
| | - Hicham Yacoubi
- Traumatology and Orthopedics, Faculty of Medicine and Pharmacy, Mohammed VI University Hospital, Mohammed First University, Oujda, MAR
| |
Collapse
|
3
|
Fadili O, Laffani M, El Adaoui O, El Andaloussi Y, Haddoun AR, Bennouna D. A solitary giant osteochondroma of the femur in the shape of a devil's head pushing back the superficial femoral artery: Case report and literature review. Int J Surg Case Rep 2022; 98:107585. [PMCID: PMC9468376 DOI: 10.1016/j.ijscr.2022.107585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Revised: 08/28/2022] [Accepted: 08/28/2022] [Indexed: 10/26/2022] Open
|
4
|
Angelini A, Cerchiaro M, Maturi C, Ruggieri P. Vascular Complications Caused by Tibial Osteochondroma: Focus on the Literature and Presentation of a Popliteal Artery Thrombosis with Acute Lower Limb Ischemia. Diagnostics (Basel) 2022; 12:diagnostics12051191. [PMID: 35626346 PMCID: PMC9140494 DOI: 10.3390/diagnostics12051191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 05/06/2022] [Accepted: 05/09/2022] [Indexed: 11/24/2022] Open
Abstract
Osteochondromas are common benign bone tumors, frequently found in adolescents or young adults. Most often asymptomatic and discovered by accidental findings, they may be diagnosed because of compression or dislocation. Vascular complications are an atypical presentation of osteochondromas, and include vessel perforation and thrombosis, arterial thromboembolic events and pseudoaneurysm formation. Popliteal artery thrombosis and acute lower limb ischemia caused by a tibial osteochondroma are rarely observed. Starting from a case of temporary lower extremity ischaemia caused by thrombosis of the subarticular popliteal artery due to an osteochondroma of the proximal tibial protruding in popliteal fossa, we focused a literature analysis on diagnostic and management aspects. A combined vascular-orthopedic approach was performed with intra-arterial locoregional thrombolytic therapy and then a surgical tangential resection of the tibial osteochondroma. The adequate approach for these patients includes clinical evaluation, plain radiographs, CT scan and MRI. The purpose of the present review article is to underline the importance of a combined vascular-orthopedic approach to correct diagnosis and prompt surgical management of vascular complications caused by tibial osteochondromas.
Collapse
Affiliation(s)
- Andrea Angelini
- Department of Orthopedics and Orthopedic Oncology, University of Padova, 35128 Padova, Italy; (M.C.); (P.R.)
- Correspondence:
| | - Mariachiara Cerchiaro
- Department of Orthopedics and Orthopedic Oncology, University of Padova, 35128 Padova, Italy; (M.C.); (P.R.)
| | - Carlo Maturi
- Department of Vascular, Endovascular Surgery, University of Padova, 35128 Padova, Italy;
| | - Pietro Ruggieri
- Department of Orthopedics and Orthopedic Oncology, University of Padova, 35128 Padova, Italy; (M.C.); (P.R.)
| |
Collapse
|
5
|
Chen RJY, Qi SD, Vaes RH, Di Bella C, Mayer R. Fractured osteochondroma presenting with popliteal pseudoaneurysm: Case report and review of literature. JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES 2020; 6:96-100. [PMID: 32095665 PMCID: PMC7033440 DOI: 10.1016/j.jvscit.2020.01.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Accepted: 01/11/2020] [Indexed: 12/03/2022]
Abstract
Osteochondroma, the most common tumor of bone, is usually asymptomatic. Vascular complications are an atypical presentation and include true or false aneurysm formation, deep venous thrombosis, and arterial insufficiency. A review of the English literature identified 130 cases of osteochondroma-related vascular complications. We describe the case of a 38-year-old man presenting with left calf pain and swelling who was diagnosed with the rare constellation of a popliteal pseudoaneurysm and incidental peroneal vein thrombosis secondary to a fractured femoral sessile osteochondroma. This was treated with resection of the osteochondroma, excision of the aneurysm, and primary end-to-end anastomosis of the artery.
Collapse
Affiliation(s)
- Reuben Jian-Yuan Chen
- Department of Vascular and Endovascular Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia
- Correspondence: Reuben Jian-Yuan Chen, MBBS, MSc, Department of Vascular and Endovascular Surgery, St Vincent's Hospital, Melbourne, Victoria 3065, Australia
| | - Sara Dawen Qi
- Department of Vascular and Endovascular Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia
| | - Roel H.D. Vaes
- Department of Vascular and Endovascular Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia
| | - Claudia Di Bella
- Department of Orthopaedic Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia
| | - Raoul Mayer
- Department of Vascular and Endovascular Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia
| |
Collapse
|
6
|
Oljaca A, Hirzberger D, Bergovec M, Tiesenhausen K, Koter SH, Friesenbichler J, Viertler C, Leithner A. Osteochondroma of the scapula associated with a subclavian artery pseudoaneurysm: Case report. SAGE Open Med Case Rep 2019; 7:2050313X18823089. [PMID: 30675356 PMCID: PMC6330723 DOI: 10.1177/2050313x18823089] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2017] [Accepted: 11/22/2018] [Indexed: 11/16/2022] Open
Abstract
Osteochondromas rarely induce vascular complications by mechanical compression. We present the case of a subclavian artery pseudoaneursym caused by an osteochondroma of the scapula in a 67-year-old male. The diagnosis was based on a previous history of multiple exostoses, computed tomography and magnetic resonance imaging, as well as the local vascular clinical status of the lesion. Surgical treatment consisted of vascular and orthopaedic intervention. First, the vascular surgeon implanted a bypass of the subclavian artery from the ventral aspect, enabling the orthopaedic surgeon to resect the osteochondroma from the dorsal aspect. The patient recovered with full function. Vascular pseundoaneurysms should be taken into consideration in patients with osteochondromas, especially with a known history of multiple hereditary exostoses.
Collapse
Affiliation(s)
- Ana Oljaca
- Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria
| | - Daniela Hirzberger
- Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria
| | - Marko Bergovec
- Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria
| | - Kurt Tiesenhausen
- Division of Vascular Surgery, Department of Surgery, Medical University of Graz, Graz, Austria
| | - Stephan H Koter
- Division of Vascular Surgery, Department of Surgery, Medical University of Graz, Graz, Austria
| | - Joerg Friesenbichler
- Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria
| | | | - Andreas Leithner
- Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria
| |
Collapse
|
7
|
Bateman DK, Bar-Eli HY, Rahimi SA, Bowe JA. Post-traumatic pseudoaneurysm of brachial artery in multiple hereditary exostoses. BMJ Case Rep 2018; 2018:bcr-2018-224353. [PMID: 29950361 DOI: 10.1136/bcr-2018-224353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Pseudoaneurysms adjacent to exostoses have been commonly reported in the femoral and popliteal arteries and only rarely in the upper extremity. We describe a case of an 18-year-old man with multiple hereditary exostoses who developed a brachial artery pseudoaneurysm after minor trauma to his right upper arm, adjacent to a known lesion. He was referred to a vascular surgeon who removed the pseudoaneurysm and repaired the artery with a saphenous vein graft. We encourage a high suspicion of vascular injury even after minor trauma when an osteochondroma is adjacent to a vascular structure.
Collapse
Affiliation(s)
- Dexter Kenneth Bateman
- Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
| | - Howard Y Bar-Eli
- Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
| | - Saum A Rahimi
- Department of Vascular Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
| | - John Andrew Bowe
- Pediatric Orthopaedic Associates, East Brunswick, New Jersey, USA
| |
Collapse
|
8
|
Osteochondromas of the proximal humerus. Diagnostic and therapeutic management. Rev Esp Cir Ortop Traumatol (Engl Ed) 2018. [DOI: 10.1016/j.recote.2018.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
|
9
|
Ramos-Pascua LR, Sánchez-Herraéz S, Casas-Ramos P, Mora-Fernández M, Izquierdo-García FM. Osteochondromas of the Proximal Humerus. Diagnostic and Therapeutic Management. Rev Esp Cir Ortop Traumatol (Engl Ed) 2018; 62:168-177. [PMID: 29572078 DOI: 10.1016/j.recot.2017.12.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2016] [Revised: 02/04/2017] [Accepted: 12/12/2017] [Indexed: 02/08/2023] Open
Abstract
OBJECTIVE 1) To recall the epidemiology and signs of osteochondromas of the proximal humerus (OPH); 2) determine treatment indications; 3) and make recommendations for surgical treatment. METHODS Retrospective, observational and longitudinal study of 20 solitary and 12 multiple osteochondromas of the proximal humerus. We analyzed the epidemiological, clinical and imaging characteristics and treatment results with an average time of follow-up of the operated cases of 45 months. RESULTS Eleven (55%) males and 9(45%) females with an average age of 21 years presented solitary osteochondromas. Twelve (60%) cases were operated on at a mean age of 23 years because they were symptomatic or, in one case, malignancy was suspected. Two solitary osteochondromas could have spontaneously regressed. Multiple osteochondromas were found in 11(92%) males and one (8%) female of whom 3required surgery. There were no complications or recurrences. Functional outcome was excellent in all patients. DISCUSSION Osteochondromas of the proximal humerus are relatively common, although most publications are case reports or short series. CONCLUSIONS Osteochondromas of the proximal humerus do not differ from those in other locations. Symptomatic cases and those in which malignancy is suspected would be operated, the former preferably at the end of growth. The surgical treatment is summarized in planning the approach, using CT and/or MRI, extraperiosteal en bloc resection, and eventual bone reconstruction, ideally with allograft.
Collapse
Affiliation(s)
- L R Ramos-Pascua
- Servicio de Cirugía Ortopédica y Traumatología, Complejo Asistencial Universitario de León, León, España.
| | - S Sánchez-Herraéz
- Servicio de Cirugía Ortopédica y Traumatología, Complejo Asistencial Universitario de León, León, España
| | - P Casas-Ramos
- Servicio de Cirugía Ortopédica y Traumatología, Complejo Asistencial Universitario de León, León, España
| | - M Mora-Fernández
- Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Burgos, Burgos, España
| | - F M Izquierdo-García
- Servicio de Anatomía Patológica, Complejo Asistencial Universitario de León, León, España
| |
Collapse
|
10
|
Sakata T, Mogi K, Sakurai M, Nomura A, Fujii M, Takahara Y. Popliteal Artery Pseudoaneurysm Caused by Osteochondroma. Ann Vasc Surg 2017; 43:313.e5-313.e7. [PMID: 28478169 DOI: 10.1016/j.avsg.2017.04.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Revised: 02/09/2017] [Accepted: 04/08/2017] [Indexed: 11/18/2022]
Abstract
A 16-year-old boy developed pulsating pain and dysesthesia in his right knee. Computed tomography showed a large aneurysm in the right upper popliteal artery and a spiked bone tumor arising from the right distal femoral shaft. Pseudoaneurysm due to osteochondroma was suspected, and the patient underwent emergency surgery. A 2-mm pinhole was detected in the arterial wall behind the tumor. After resection of the tumor, the damaged arterial wall was removed, and the defect was repaired using a saphenous vein patch. We suggest that patch repair is preferable to direct closure or end-to-end anastomosis to prevent recurrent pseudoaneurysm at a later time, even if the defect is small.
Collapse
Affiliation(s)
- Tomoki Sakata
- Department of Cardiovascular Surgery, Heart and Vascular Institute, Funabashi Municipal Medical Center, Funabashi, Japan.
| | - Kenji Mogi
- Department of Cardiovascular Surgery, Heart and Vascular Institute, Funabashi Municipal Medical Center, Funabashi, Japan
| | - Manabu Sakurai
- Department of Cardiovascular Surgery, Heart and Vascular Institute, Funabashi Municipal Medical Center, Funabashi, Japan
| | - Anan Nomura
- Department of Cardiovascular Surgery, Heart and Vascular Institute, Funabashi Municipal Medical Center, Funabashi, Japan
| | - Masahiko Fujii
- Department of Cardiovascular Surgery, Heart and Vascular Institute, Funabashi Municipal Medical Center, Funabashi, Japan
| | - Yoshiharu Takahara
- Department of Cardiovascular Surgery, Heart and Vascular Institute, Funabashi Municipal Medical Center, Funabashi, Japan
| |
Collapse
|
11
|
Raherinantenaina F, Rakoto-Ratsimba HN, Rajaonanahary TMA. Management of extremity arterial pseudoaneurysms associated with osteochondromas. Vascular 2016; 24:628-637. [PMID: 26944530 DOI: 10.1177/1708538116634532] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Arterial pseudoaneurysms associated with osteochondromas are rare and most publications on this topic are case reports. The management of this double entity is not standardized. We wanted to update it. Literature searches on MEDLINE and EMBASE were performed using the keywords "artery pseudoaneurysm" and "osteochondroma". Patient demographics, clinical presentations, diagnostic and therapeutic modalities were reviewed. In sum, 101 cases were analyzed. Overall, young adults represented the majority of the affected population with a masculine preponderancy (86%). Painful swelling (51%) was the most commonly physical finding. Distal femur was the most common site of the osteochondroma (86%). Multiple hereditary exostosis was seldom reported (36%). Diagnostic confirmation was dominated by arteriography (55%). Popliteal artery (77%) was the most commonly injured vessel. The treatment was open surgery with vascular repair and optimal exostectomy. Arterial repair was performed with saphenous vein grafting (40%) or lateral suture (39%). Postoperative courses were often uneventful (97%). Arterial pseudoaneurysms resulted from osteochondromas were dominated by those involving the popliteal artery. The use of arteriography to confirm the diagnosis may be limited to the benefit of non-invasive radiological methods because endovascular treatment is not relevant in the setting of osteochondroma-induced arterial pseudoaneurysm.
Collapse
|
12
|
Goyal VD, Sharma V, Kalia S, Pathak S. Management of a case of ruptured pseudoaneurysm and stenosis of femoral artery caused by femoral osteochondroma. J Clin Diagn Res 2015; 9:PD03-4. [PMID: 25738025 DOI: 10.7860/jcdr/2015/10263.5365] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2014] [Accepted: 09/08/2014] [Indexed: 11/24/2022]
Abstract
We present a rare case of ruptured pseudoaneurysm of distal femoral artery due to osteochondroma in a 21-year- old male. The patient was initially treated for osteochondroma as ruptured pseudoaneurysm was not suspected. Diagnosis of ruptured pseudoaneurysm could only be made intraoperatively when rent in the femoral artery was found along with surrounding hematoma and obstruction in the distal femoral artery. Patient underwent multiple surgeries (resection of osteochondroma and femoro-popliteal bypass) and recovered well with palpable pulsations in the operated limb.
Collapse
Affiliation(s)
- Vikas Deep Goyal
- Assistant Professor, Department of Cardiothoracic and Vascular Surgery, Dr. RPGMC Kangra , Tanda (H.P), India
| | - Vipin Sharma
- Associate professor Orthopedics, Department of Orthopedics, Dr. RPGMC Kangra , Tanda (H.P), India
| | - Sandeep Kalia
- Assistant Professor Orthopedics, Department of Orthopedics, Dr. RPGMC Kangra , Tanda (H.P), India
| | - Shivam Pathak
- PJunior Resident Orthopedics, Department of Orthopedics, Dr. RPGMC Kangra , Tanda (H.P), India
| |
Collapse
|
13
|
False Arterial Aneurysm due to Long Bone Exostosis: Presentation of Two Cases and Update on Proper Management. Ann Vasc Surg 2015; 29:842.e19-22. [PMID: 25733214 DOI: 10.1016/j.avsg.2014.12.031] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2014] [Revised: 12/18/2014] [Accepted: 12/18/2014] [Indexed: 11/21/2022]
Abstract
Osteochondromas are the most common benign bone tumors. Vascular complications are unusual, with false arterial aneurysms being the majority among them. Although there are several reports of false aneurysms because of an exostosis in the femoro-popliteal region, cases presenting with a false aneurysm of the brachial artery are quite rare. Many suggestions have been made regarding prevention, diagnosis, and treatment of these false aneurysms, although there are no official guidelines. Therefore, this report aims to present 2 unusual cases of patients with a false aneurysm in the femoral and brachial artery, respectively, because of an exostosis. Literature data are discussed and useful conclusions regarding optimal management are made.
Collapse
|
14
|
ALBERT S, DANIEL S, GOUSE M, CHERIAN VM. Case of pseudoaneurysm mimicking a soft tissue sarcoma: a diagnostic pitfall. Malays J Med Sci 2015; 22:61-64. [PMID: 26023297 PMCID: PMC4438094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2014] [Accepted: 06/22/2014] [Indexed: 06/04/2023] Open
Abstract
Pseudoaneurysms represent a pulsating encapsulated hematoma in communication with the lumen of a ruptured vessel. We present a 33-year-old male with a pseudoaneurysm of the profunda femoris artery. At presentation and on further evaluation, he was diagnosed with a possible soft tissue sarcoma of the distal thigh. Catastrophic haemorrhage occurred at the time of a planned, elective open biopsy. This case report emphasises the importance of considering pseudoaneurysm as a crucial differential diagnosis in atypical swellings and scrutinising all suspected soft tissue tumours with a contrast study or a Doppler ultrasound.
Collapse
Affiliation(s)
- Sandeep ALBERT
- Department of Orthopaedics, Unit 1, Christain Medical College, Vellore, 632004, Tamil Nadu, India
| | - Sanju DANIEL
- Department of Orthopaedics, Unit 1, Christain Medical College, Vellore, 632004, Tamil Nadu, India
| | - Mohamad GOUSE
- Department of Orthopaedics, Unit 1, Christain Medical College, Vellore, 632004, Tamil Nadu, India
| | - Vinu Mathew CHERIAN
- Department of Orthopaedics, Unit 1, Christain Medical College, Vellore, 632004, Tamil Nadu, India
| |
Collapse
|
15
|
Tsang JY, Bhosale A, Pillai A. Retrofibular osteochondroma with peroneal tendon subluxation. Foot (Edinb) 2015; 25:41-4. [PMID: 25498948 DOI: 10.1016/j.foot.2014.09.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2014] [Accepted: 09/25/2014] [Indexed: 02/04/2023]
Abstract
Osteochondroma of the bone can cause a range of complications involving tendons, joints and neurovascular structures. Distal fibular osteochondroma and non-traumatic peroneal tendon subluxation are both rare. In this case report, we describe an unusual case of distal retrofibular osteochondroma in a 36-year old male causing peroneal tendon subluxation. He presented with pain and instability around his ankle, but with no history of trauma. He successfully underwent osteochondroma excision, peroneal groove deepening and a Brostrom-Gould type reconstruction for the lateral ankle ligament insufficiency. Complete resolution of the symptoms of instability and subluxation was noted upon 6-month follow up.
Collapse
Affiliation(s)
- Jung Yin Tsang
- Trauma & Orthopaedics Department, University Hospital of South Manchester, M23 9LT, UK.
| | - Abhijit Bhosale
- Trauma & Orthopaedics Department, University Hospital of South Manchester, M23 9LT, UK.
| | - Anand Pillai
- Trauma & Orthopaedics Department, University Hospital of South Manchester, M23 9LT, UK.
| |
Collapse
|
16
|
Hadidi FA, Hadidy AM, Al Smady MM, Samara O, Al Ryalat NT, Al Khattab R, Hadidi L. Spontaneous primary pseudo-aneurysm of brachial artery on an adult patient mis-diagnosed for 8 years: Case report. COR ET VASA 2014. [DOI: 10.1016/j.crvasa.2014.04.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
17
|
Boyacioğlu K, Kayalar N, Sarioğlu S, Yildizhan I, Mert B, Erentuğ V. Popliteal artery pseudoaneurysm associated with solitary osteochondromatosis. Vascular 2013; 22:286-9. [PMID: 23929420 DOI: 10.1177/1708538113486784] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Osteochondroma is the most common benign tumor of the bone, seen mostly during adolescence. In the current study, we report a 19-year-old male patient with a two-week history of pain and swelling of the medial side of his right thigh just above the knee without any trauma. CT angiography revealed a popliteal artery pseudoaneurysm and its close relationship with a femoral osteochondroma. Surgical repair consisted of repair of pseudoaneurysm and removal of osteochondroma. In young patients, a non-traumatic pseudoaneurysm of distal femoral artery may be a complication of an osteochondroma and this treatable pathology should be looked for to prevent recurrence.
Collapse
Affiliation(s)
- Kamil Boyacioğlu
- Bagcilar Training and Research Hospital, Cardiovascular Surgery Department, Istanbul, Turkey
| | - Nihan Kayalar
- Bagcilar Training and Research Hospital, Cardiovascular Surgery Department, Istanbul, Turkey
| | - Seçkin Sarioğlu
- Bagcilar Training and Research Hospital, Cardiovascular Surgery Department, Istanbul, Turkey
| | - Ibrahim Yildizhan
- Bagcilar Training and Research Hospital, Cardiovascular Surgery Department, Istanbul, Turkey
| | - Bülent Mert
- Bagcilar Training and Research Hospital, Cardiovascular Surgery Department, Istanbul, Turkey
| | - Vedat Erentuğ
- Bagcilar Training and Research Hospital, Cardiovascular Surgery Department, Istanbul, Turkey
| |
Collapse
|