Delayed presentation of huge pseudoaneurysm of Profunda femoris artery branch after dynamic hip screw fixation for intertrochanteric fracture: A case report and literature review

Abstract

© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND | 2020. Pseudoaneurysm is a rare life-threatening condition caused by vascular injury after a proximal femoral fracture fixation. Although the onset of symptoms may be acute or delayed, this condition requires early diagnosis and proper treatment. In cases with delayed presentation as soft tissue mass in the thigh area with or without pain and anemia, the differential diagnoses as soft tissue tumors, deep vein thrombosis, and infection should be considered. The definitive diagnosis can be set using duplex ultrasonography, CT angiography, and MRI. The management includes the conservative method and surgical treatment, depending on the lesion size. In the present report, the authors presented an elderly male who had delayed presentation of a huge pseudoaneurysm from the branch of his profunda femoris artery after proximal femoral fracture fixation, together with a literature review of its etiology, treatment, and outcome. The authors believed this article provide supportive information for an appropriate stepwise approach for diagnosis and an effective strategic management in the patients with pseudoaneurysm and having late presentation.