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1 results

  • Unusual diagnosis in a patient with minor ankle trauma

  • Zoë Piggott, Donna Clark
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 19 / Issue 6 / November 2017
    Published online by Cambridge University Press:
    08 December 2016, pp. 492-496
    Print publication:
    November 2017
    • Article
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  • We present the case of a 23 year-old male who sustained an anterior tibial artery pseudoaneurysm after an apparently innocuous soccer injury. The patient presented with sudden onset severe pain and swelling one week after the injury. The diagnosis was made using duplex ultrasound, and confirmed with CT angiography. Definitive management consisted of endovascular platinum microcoiling. One year later, the patient is asymptomatic and remains active. A review of the epidemiology, diagnosis, and treatment of arterial pseudoaneurysm is presented. Bedside ultrasound in the emergency department may be a useful adjunct in the early identification of pseudoaneurysms.