Dukan R, Lacroix M, Bertin E, Reverdito G, Fitoussi F, Binder AC. Acute digit ischemia due to a ruptured digital collateral artery aneurysm in a patient of hemophilia: A case report.
J Orthop Case Rep 2023;
13:70-74. [PMID:
38025357 PMCID:
PMC10664232 DOI:
10.13107/jocr.2023.v13.i11.4010]
[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: 07/22/2023] [Revised: 08/29/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction
Digital artery aneurysms are a rare event but cases have been reported in the literature. The hemostasis disorders make these aneurysms particularly dangerous with potentially irreversible hand complications: Compression of adjacent vascular and nervous structures, embolization of associated thrombi, finger ischemia, and necrosis.
Case Report
We reported a case of digital ischemia due to a ruptured aneurysm of a digital collateral artery, leading to the diagnosis of congenital hemophilia A. Hematoma evacuation allowed finger revascularization. Complete symptom resolution required ligature excision associated with Factor VIII supplementation.
Conclusion
Aneurysms of the digital collateral arteries are a rare event. In the case of a hemophilic patient, surgical management is necessary, and medical treatment alone is not sufficient. The consequences of a ruptured aneurysm in this type of patient can be serious. A close monitoring is required to ensure the absence of early recurrence.
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