Published in:
01-09-2017 | Original Article
Pseudo-aneurysms of profunda femoris—causes, presentation, and management
Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 3/2017
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Background
Pseudo-aneurysms of the profunda femoris are rare and seriously complicate blunt or penetrating injuries of thigh. Angiography is needed for definitive diagnosis. The commonest presentation is a swelling in the thigh. Treatment is surgical or conservative. We here attempt to profile 11 cases of profunda femoris pseudo-aneurysms, their causes, presentation, and management that presented to our department over a period of 8 years.
Material and methods
From January 2008 to December 2015, our department received 11 patients of profunda femoris pseudo-aneurysms. Contrast-enhanced CT angiography was done. The cavity of the pseudo-aneurysm was debrided, rinsed with antibiotic solution, and defect repaired. Patients were discharged on the third postoperative day and followed up for 8 weeks. None had any recollection or vascular deficit.
Results
There were seven (63.64%) males and four (36.36%) females. Age ranged from 25 to 75 years with a mean of 52.36 years. Time of presentation ranged from 1 to 180 days with a mean of 35.27 days. Size of swellings ranged from 2.4 × 1 cm to 8 × 6 cm with a mean 5.4 × 3.86 cm. Three responded to conservative measures. The commonest mode of presentation was a swelling (11, 100%) in the thigh.
Conclusion
It is important to have a high index of suspicion for profunda femoris pseudo-aneurysm and perform appropriate workup when the patient presents with thigh swelling, pain, and a significant decrease in haemoglobin level mandating an early angiography.