ABSTRACT
Pseudoaneurysm of the ankle involving the posterior tibial artery is a rare presentation with only four paediatric cases previously reported in English literature. We report a new case following blunt trauma with the clinical presentation and management strategy. A 6-year-old boy presented with a pulsatile swelling at the medial aspect of ankle following a history of blunt trauma 3 weeks ago. Imaging confirmed pseudoaneurysm involving the distal posterior tibial artery. Excision of the pseudoaneurysm was performed without any complication.
Subject(s)
Aneurysm, False/surgery , Lacerations/complications , Ligation/methods , Tibial Arteries/surgery , Aneurysm, False/diagnostic imaging , Aneurysm, False/etiology , Ankle Injuries/complications , Child , Humans , Male , Tibial Arteries/injuriesABSTRACT
This case presents a rare complication of the spontaneous rupture of a femoral hernia in an elderly woman without causing much systemic effect despite the herniated bowel being necrosed and perforated, giving rise to an enterocutaneous fistula. The small bowel had also prolapsed through the fistula opening, making it a very rare and alarming presentation.