Expanding ulnar artery aneurysm presenting with signs of threatened rupture.
The case of a 25-year-old man admitted with an ulnar artery aneurysm of the wrist is presented. The size of the aneurysm (1.5 x 2.7 cm) and progressive pain gave the impression of a threatened rupture. Radiologic examinations confirmed the existence of a non-thrombosed ulnar artery aneurysm with occlusion of the 4th and 5th digital arteries. During an urgent surgical exploration a pseudo-aneurysm was found and resected and the artery was repaired. Thrombolysis of the digital arteries was performed with a good result. The combination of a large-sized pseudo-aneurysm, lack of a history of penetrating trauma and presentation of threatened rupture are unique and not reported previously in the literature.
Filis
K
K
1st Department of Surgery, University of Athens Medical School, Laiko Hospital, Athens, Greece.
Kontos
M
M
Pikoulis
E
E
Bakoyannis
C
C
Leppäniemi
A
A
Bastounis
E A
EA
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000517:prevention & control; D000792:Angiography; D006801:Humans; D008297:Male; D015912:Thrombolytic Therapy; D017535:Ulnar Artery; D014953:Wrist