Mustafa PARILDAR, Nadir ÖZKAYIN, Levent KÜÇÜK, Kemal AKTUĞLU, Burçin KEÇECİ

Pseudoaneurysm of arteria profunda femoris following the surgery of proksimal femur fracture: a case report

Kalça kırıkları sonrasında derin femoral arterde psödoanevrizma gelişmesi çok nadir görülen birkomplikasyondur. Psödoanevrizma arter duvarının travmatik, iatrojenik ya da enfektif biryaralanmasına bağlı olarak gelişebilir. Derin femoral arterde gelişen psödoanevrizmalar genelliklegeç bulgu verirler. Bu bulgular ısrarlı kalça ağrısı, uylukta şişlik, pulsatil kitle varlığı ve sebebiortaya konamayan anemi şeklinde olabilir. Tedavi seçenekleri arasında cerrahi yöntemler,embolizasyon, thrombin enjeksiyonu sayılabilir. Anjiografi hem teşhis hem de aynı seansta tedaviimkanını sağlayabilen etkili bir yöntemdir. Proksimal femur kırığı cerrahi tedavisi sonrası derinfemoral arterde psödoanevrizma gelişen ve anjiografik yöntemlerle perkutan embolizasyonuygulanarak tedavi edilen bir olguyu sunuyoruz.

Proksimal f emur kırığı cerrahisi sonrası gelişen arteria p rof unda f emoris psödoanevrizması: olgu sunumu

Pseudoaneurysm of arteria profunda femoris after the hip fracture is a very rare complication. Themechanism of pseudoaneursym formation may be traumatic, iatrogenic or infective injury to thearterial wall. Pseudoaneurysms of arteria profunda femoris usually give late symtomps such aspersistent hip pain, thigh swelling, presence of a pulsatile mass and unexplained anemia that maysuggest the diagnosis. Surgical repair, transcatheter embolization, thrombin injection under dupleximaging guidance is the treatment options for pseudoaneurysm. Angiography is a well knowntechnique for accurate diagnosis and may be the first choice for the minimal invasive treatment.We present a case of a pseudoaneurysm of arteria profunda femoris following osteosynthesis of aproksimal femur fracture. Pseudoaneurysm was successfully treated by percutaneous placement ofembolization coils.

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