Skip to main content

Advertisement

Log in

A posttraumatic pseudoaneurysm of the left radial artery as a result of a stab wound in an 8-year-old girl

  • Images in Forensics
  • Published:
Forensic Science, Medicine and Pathology Aims and scope Submit manuscript

Abstract

Pseudoaneurysms arise from a disruption of arterial wall continuity and are most commonly related to a penetrating trauma, an arterial wall inflammation or iatrogenic causes. They differ from real aneurysms due to a lack of one or more layers of the arterial wall. The frequency of peripheral artery pseudoaneurysms in the upper extremities is less than in the lower extremities and its most common cause is a gunshot or a stab wound. The risk of a rupture is higher than in true aneurysms due to a lack of wall layers, therefore requiring surgical treatment in most cases. Here we describe an unusual case of an 8-year-old girl who presented to the emergency department complaining of swelling and pain in her left distal forearm. One month before admission she experienced a penetrating trauma in the same area due to a self inflicted stab wound. After clinical and duplex ultrasonography evaluation the tumefaction proved to be a posttraumatic pseudoaneurysm of the left radial artery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Haimovici H. Peripheral arterial aneurysms. In: Haimovici H, Ascer E, Hollier L, Strandness DJ, Towne J, editors. Haimovici’s Vascular Surgery. USA: Blackwell Science; 1996. p. 893–909.

    Google Scholar 

  2. Davidovic LB, Banzić I, Rich N, Dragaš M, Cvetkovic SD, Dimic A. False traumatic aneurysms and arteriovenous fistulas: retrospective analysis. World J Surg. 2011;35:1378–86.

    Article  PubMed  Google Scholar 

  3. Amrani A, Dandane M, El Alami Z, El Madhi T, Gourinda H, Miri A. False aneurysm of the radial artery: unusual complication of both-bone forearm fracture in children: a case report. Cases J. 2008;1:170.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  4. Crawford ES, De Bakey ME, Cooley DA. Surgical considerations of peripheral arterial aneurysms; analysis of one hundred seven cases. AMA Arch Surg. 1959;78:226–38.

    Article  PubMed  CAS  Google Scholar 

  5. Wielenberg A, Borge MA, Demos TC, Lomasney L, Marra G. Traumatic pseudoaneurysm of the brachial artery. Orthopedics. 2000;23(1250):1322–4.

    Google Scholar 

  6. Napolitano AM, Napolitano L, Francomano F, Colalongo C, Ucchino S. Aneurysms of the subclavian artery: clinical experience. Ann Ital Chir. 1998;69:311–5.

    PubMed  CAS  Google Scholar 

  7. Johnston KW, Rutherford RB, Tilson MD, Shah DM, Hollier L, Stanley JC. Suggested standards for reporting on arterial aneurysms. J Vasc Surg. 1991;13:452–8.

    Article  PubMed  CAS  Google Scholar 

  8. Yilmaz AT, Arslan M, Demirkiliç U, et al. Missed arterial injuries in military patients. Am J Surg. 1997;173:110–4.

    Article  PubMed  CAS  Google Scholar 

  9. Ho PK, Weiland AJ, McClinton MA, Wilgis EF. Aneurysms of the upper extremity. J Hand Surg [Am]. 1987;12:39–46.

    Article  CAS  Google Scholar 

  10. Kerr CD, Duffey TP. Traumatic false aneurysm of the radial artery. J Trauma. 1988;28:1603–4.

    Article  PubMed  CAS  Google Scholar 

  11. Crawford DL, Yuschak JV, McCombs PR. Pseudoaneurysm of the brachial artery from blunt trauma. J Trauma. 1997;42:327–9.

    Article  PubMed  CAS  Google Scholar 

  12. Gu A, Kam AJ. A rare pediatric case of posttraumatic pseudoaneurysm: case report and literature review. Pediatr Emerg Care. 2017; https://doi.org/10.1097/PEC.0000000000001236.

  13. Clark ET, Mass DP, Bassiouny HS, Zarins CK, Gewertz BL. True aneurysmal disease in the hand and upper extremity. Ann Vasc Surg. 1991;5:276–81.

    Article  PubMed  CAS  Google Scholar 

  14. Jutte E. Pseudoaneurysm of the brachial artery due to blunt trauma in a child. Cardiovasc Surg. 2002;10:52–3.

    Article  PubMed  CAS  Google Scholar 

  15. Yetkin U, Gurbuz A. Post-traumatic pseudoaneurysm of the brachial artery and its surgical treatment. Tex Heart Inst J. 2003;30:293–7.

    PubMed  PubMed Central  Google Scholar 

  16. Payne FM. Traumatic aneurysm of the radial artery. J Natl Med Assoc. 1941;33:152–5.

    PubMed  PubMed Central  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Goran Djuricic.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Djuricic, G., Milosevic, Z., Radovic, T. et al. A posttraumatic pseudoaneurysm of the left radial artery as a result of a stab wound in an 8-year-old girl. Forensic Sci Med Pathol 14, 406–409 (2018). https://doi.org/10.1007/s12024-018-9975-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12024-018-9975-9

Keywords

Navigation