Spontaneous femoral artery pseudoaneurysm is a rare disease and reported cases are very few. Most of them are related to underlying pathology either atherosclerotic disease or connective tissue disease. We present a 29-year-old healthy man with two months history of a painful pulsating mass at the level of the lower right thigh without any previous history of trauma, surgery or puncture of the femoral artery. An angiogram revealed a right superficial femoral artery pseudo-aneurysm. It was treated surgically by resection of the aneurysm, reconstruction with inter-positional saphenous vein graft. We reported this case because of its rare incidence in the young patient with no underlying pathology.
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