title: Unusual diagnosis in a patient with minor ankle trauma.
abstract: 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.
authors.affiliation: *Emergency Medicine,University of Manitoba,Winnipeg,MB.
authors.forename: Zoë
authors.initials: Z
authors.lastname: Piggott
authors.affiliation: *Emergency Medicine,University of Manitoba,Winnipeg,MB.
authors.forename: Donna
authors.initials: D
authors.lastname: Clark
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology; D016512:Ankle Injuries / Q000150:complications* / Q000175:diagnosis; D000072226:Computed Tomography Angiography / Q000379:methods*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D012916:Soccer / Q000293:injuries*; D016909:Tibial Arteries; D015599:Trauma Severity Indices; D018616:Ultrasonography, Doppler, Duplex / Q000379:methods*; D055815:Young Adult
keywords: pseudoaneurysm; tibial artery; ultrasound