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Pseudoaneurysm of anterior tibial artery following a diaphyseal fracture of the tibia mimicking a malignant bone tumor

  • Trauma Surgery
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Abstract

Pseudoaneurysms of the lower limb are rare and frequently iatrogenics complications. Closed traumas are likely to generate lesions of the arterial wall, which generally become symptomatic at a later stage. The diagnosis of such vascular lesion is difficult because the symptomatology and the onset can be delayed. We herein report the case of a 15-year-old patient in whom the diagnosis of pseudoaneurysm of the anterior tibial artery was made 5 months after a non-displaced closed fracture of the tibial shaft. The radiographs were evocative of a malignant bone tumor. The study of vessels by a contrast-enhanced CT-scan enabled us to diagnose the pseudoaneurysm. Before the occurrence of late onset swelling, a history of trauma must be sought, even old.

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References

  1. Bowie DC, Kay AW (1949) Traumatic False aneurysm simulating bone sarcoma. BR J Surg 36:310

    Article  CAS  PubMed  Google Scholar 

  2. Dominguez R, Santos LA (1986) Traumatic pseudoaneurysm of the anterior tibial artery simulating soft tissue malignancy. Skelet Radiol 15:622–624

    Article  CAS  Google Scholar 

  3. Gantz ED, Sweet MB, Jakim I (1988) False aneurysm mimicking an aggressive soft-tissue tumor. A case report. J Bone Jt Surg Am 70:1090–1092

    CAS  Google Scholar 

  4. Barzi DM, Sami SH, Fallah E (2014) Nickname-aneurysm of anterior tibia artery simulating a soft tissue sarcoma: a case report. ACTA Med Iran 52:234–237

    PubMed  Google Scholar 

  5. Albert S, Daniel S, Gouse M, Cherian VM (2015) Case of pseudoaneurysm, mimicking a soft tissue sarcoma: a diagnostic pitfall. Malays J Med Sci 22:61–64

    PubMed  PubMed Central  Google Scholar 

  6. Lazarov M, Van der Bracht H, Victor J, Stuyts B (2014) Missed diagnosis of false aneurysm of the superficial femoral artery after closed complex fracture of the distal femur. Orthop Surg Res Tramatol 100:695–697

    Article  CAS  Google Scholar 

  7. Yu JL, Ho E (2013) Wines ad Pseudoaneurysms around the foot and ankle: case report and literature review. Foot Ankle Surg 19:194–198

    Article  CAS  PubMed  Google Scholar 

  8. van Hensbroek PB, Ponsen KJ, Reekers JA, Goslings JC (2007) Endovascular treatment of anterior tibial artery pseudoaneurysm following locking compression plating of the tibia. J Orthop Trauma 21:279–282

    Article  PubMed  Google Scholar 

  9. Han KJ, Won YY, Khang SY (2004) Pseudoaneurysm after tibial nailing. Clin Orthop Relat Res 418:209–212

    Article  Google Scholar 

  10. Sawant MR, Ireland J (2001) Nickname-aneurysm of the anterior tibial artery complicating high tibial osteotomy—a case report. Knee 8:247–248

    Article  CAS  PubMed  Google Scholar 

  11. Darwish A, Ehsan O, Manandhar H, Al-Khaffaf H (2004) Pseudoaneurysm of the anterior tibial artery after ankle arthroscopy. Arthroscopy 20:63–64

    Article  Google Scholar 

  12. Georgiadis GS, Deftereos SP, Effiwatt E, Zacharouli D, Lazarides MK (2006) Delayed presentation of tibial false aneurysm. Surgery 139:446–447

    Article  PubMed  Google Scholar 

  13. Christofilopoulos P, Panos A, Masteson K, Abde S, Assal M (2008) Pseudoaneurysm of the anterior tibial artery following an ankle sprain: a case report of an uncommon ankle trauma with review of the literature. Foot Ankle Surg 14:40–42

    Article  PubMed  Google Scholar 

  14. Crellin RQ, Tsapogas MJC (1963) Traumatic aneurysm of the anterior tibial artery. J Bone Jt Surg Br 45-B:142–144

    CAS  Google Scholar 

  15. Taylor M, Guillon M, Champion V, Marcu M, Arnoux JB, Hartmann O (2005) Ewing’s tumor. Arch Pediatr 12:1383–1391

    Article  CAS  PubMed  Google Scholar 

  16. Lädermann A, Stern R, Bettschart V, Rian N (2008) Delayed posttraumatic pseudoaneurysm of the anterior tibial artery mimicking a malignant tumor. Orthopedics 31(5):500

    Article  PubMed  Google Scholar 

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Correspondence to Pierre Sautet.

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Sautet, P., Choufani, E., Petit, P. et al. Pseudoaneurysm of anterior tibial artery following a diaphyseal fracture of the tibia mimicking a malignant bone tumor. Arch Orthop Trauma Surg 136, 1247–1250 (2016). https://doi.org/10.1007/s00402-016-2525-6

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  • DOI: https://doi.org/10.1007/s00402-016-2525-6

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