Iatrogenic pseudoaneurysm of the lateral femoral circumflex artery following antegrade intramedullary femur nailing: a case report

Few cases of femoral artery pseudoaneurysm or its branches have been reported following intramedullary nailing of femur fractures. The occurrence of a false aneurysm of the lateral femoral circumflex artery (LFCA) for such a fracture has never been reported so far. We report a case of a young male w...

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Main Authors: Khirul Ashar, Nur Ayuni, Ismail, Imma Isniza, Lingam, Rahul
Format: Article
Published: Springer Science and Business Media LLC 2024
Online Access:http://psasir.upm.edu.my/id/eprint/118027/
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author Khirul Ashar, Nur Ayuni
Ismail, Imma Isniza
Lingam, Rahul
author_facet Khirul Ashar, Nur Ayuni
Ismail, Imma Isniza
Lingam, Rahul
author_sort Khirul Ashar, Nur Ayuni
building UPM Institutional Repository
collection Online Access
description Few cases of femoral artery pseudoaneurysm or its branches have been reported following intramedullary nailing of femur fractures. The occurrence of a false aneurysm of the lateral femoral circumflex artery (LFCA) for such a fracture has never been reported so far. We report a case of a young male with a delayed presentation of right thigh swelling following an antegrade interlocking nail femur. Ultrasonography and CT angiography of the right thigh confirmed a pseudoaneurysm communicating with LFCA. After unsuccessful ultrasound-guided compression therapy, the patient underwent embolization of the right LFCA pseudoaneurysm by an interventional radiologist. Although intramedullary nailing is considered a safe procedure, a pseudoaneurysm should be suspected when the patient presents with a painful swelling after the surgery. Glue embolization of the artery should be considered as one of the treatment options, as it yields favorable outcomes with less morbidity.
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spelling upm-1180272025-06-23T02:28:11Z http://psasir.upm.edu.my/id/eprint/118027/ Iatrogenic pseudoaneurysm of the lateral femoral circumflex artery following antegrade intramedullary femur nailing: a case report Khirul Ashar, Nur Ayuni Ismail, Imma Isniza Lingam, Rahul Few cases of femoral artery pseudoaneurysm or its branches have been reported following intramedullary nailing of femur fractures. The occurrence of a false aneurysm of the lateral femoral circumflex artery (LFCA) for such a fracture has never been reported so far. We report a case of a young male with a delayed presentation of right thigh swelling following an antegrade interlocking nail femur. Ultrasonography and CT angiography of the right thigh confirmed a pseudoaneurysm communicating with LFCA. After unsuccessful ultrasound-guided compression therapy, the patient underwent embolization of the right LFCA pseudoaneurysm by an interventional radiologist. Although intramedullary nailing is considered a safe procedure, a pseudoaneurysm should be suspected when the patient presents with a painful swelling after the surgery. Glue embolization of the artery should be considered as one of the treatment options, as it yields favorable outcomes with less morbidity. Springer Science and Business Media LLC 2024 Article PeerReviewed Khirul Ashar, Nur Ayuni and Ismail, Imma Isniza and Lingam, Rahul (2024) Iatrogenic pseudoaneurysm of the lateral femoral circumflex artery following antegrade intramedullary femur nailing: a case report. Cureus, 16 (1). art. no. 52009. ISSN 2168-8184 https://www.cureus.com/articles/112103-iatrogenic-pseudoaneurysm-of-the-lateral-femoral-circumflex-artery-following-antegrade-intramedullary-femur-nailing-a-case-report 10.7759/cureus.52009
spellingShingle Khirul Ashar, Nur Ayuni
Ismail, Imma Isniza
Lingam, Rahul
Iatrogenic pseudoaneurysm of the lateral femoral circumflex artery following antegrade intramedullary femur nailing: a case report
title Iatrogenic pseudoaneurysm of the lateral femoral circumflex artery following antegrade intramedullary femur nailing: a case report
title_full Iatrogenic pseudoaneurysm of the lateral femoral circumflex artery following antegrade intramedullary femur nailing: a case report
title_fullStr Iatrogenic pseudoaneurysm of the lateral femoral circumflex artery following antegrade intramedullary femur nailing: a case report
title_full_unstemmed Iatrogenic pseudoaneurysm of the lateral femoral circumflex artery following antegrade intramedullary femur nailing: a case report
title_short Iatrogenic pseudoaneurysm of the lateral femoral circumflex artery following antegrade intramedullary femur nailing: a case report
title_sort iatrogenic pseudoaneurysm of the lateral femoral circumflex artery following antegrade intramedullary femur nailing: a case report
url http://psasir.upm.edu.my/id/eprint/118027/
http://psasir.upm.edu.my/id/eprint/118027/
http://psasir.upm.edu.my/id/eprint/118027/