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Unusual diagnosis in a patient with minor ankle trauma

机译:踝关节轻度创伤患者的异常诊断

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We present the case of a 23 year-old male who sustained an anterior tibial artery pseudoaneurysm after an apparently innocuous soccer injury. The patient presented with sudden onset severe pain and swelling one week after the injury. The diagnosis was made using duplex ultrasound, and confirmed with CT angiography. Definitive management consisted of endovascular platinum microcoiling. One year later, the patient is asymptomatic and remains active. A review of the epidemiology, diagnosis, and treatment of arterial pseudoaneurysm is presented. Bedside ultrasound in the emergency department may be a useful adjunct in the early identification of pseudoaneurysms.
机译:我们提供了一个23岁男性的案例,该男性在看似无害的足球损伤后持续发生胫骨前动脉假性动脉瘤。受伤后一周,患者突然发作剧烈疼痛并肿胀。诊断使用双工超声,并通过CT血管造影证实。明确的管理包括血管内铂微线圈。一年后,该患者无症状并保持活跃。介绍了流行病学,动脉假性动脉瘤的诊断和治疗。急诊科的床旁超声检查可能是早期识别假性动脉瘤的有用辅助手段。

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