Abstract
Pseudoaneurysm of the hand is often the result of focal penetrating trauma. The goal of this report is to describe a rare case of a patient with a pseudoaneurysm of the superficial palmar arch, and deep arch, and her subsequent surgical treatment. A 67-year-old patient sustained an accidental laceration to her palm, with a kitchen knife. The patient was initially treated in the Emergency Department, with a simple repair of a 1 cm laceration. No imaging was obtained at that time. The patient subsequently developed a large, pulsatile, painful mass in her palm near the site of injury, and presented to Emergency Department again for evaluation. Using a color flow Doppler US, the patient was initially diagnosed with a pseudoaneurysm of the superficial palmar arch. Superficial aneurysm was treated with two thrombin injections, after which a CT angiogram was obtained that showed a pseudoaneurysm in the deep arch. The patient was subsequently taken to the operating room, and both pseudoaneurysms were successfully resected and repaired. The patient did well after surgery, with no lasting sensory or motor deficits to the hand, and patency of superficial and deep arch, as well as, well flow to the digital arteries. To our knowledge, this is the only case reporting post-traumatic pseudoaneurysm of superficial and deep arch. Although, a rare phenomenon, pseudoaneurysm of the superficial palmar arch and deep arch can coexist.
Level of Evidence: Level V, diagnostic/therapeutic study.
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Asra Hashmi, Adam Schumaier, Faraz Ali Khan, Tolga Gursel, and Guillermina Nava declare that they have no conflict of interest.
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Hashmi, A., Schumaier, A., Khan, F.A. et al. Pseudoaneurysm of superficial and deep arch of the hand after penetrating wound. Eur J Plast Surg 40, 75–78 (2017). https://doi.org/10.1007/s00238-016-1235-1
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DOI: https://doi.org/10.1007/s00238-016-1235-1