title: Double localization of a non-anastomotic pseudoaneurysm after an axillofemoral bypass: a case report and review of the literature.
abstract: BACKGROUND
  A traumatic non-anastomotic pseudoaneurysm is a rare complication of an axillofemoral bypass graft. Fewer than 20 cases have been reported in the literature. Our case is unusual in that we report a double localization of this complication.
  
  
  METHODS
  We report the case of a 60-year-old Arabic male patient who was diagnosed with two hematomas in the trajectory of his axillofemoral bypass secondary to a traumatism. The diagnosis of a non-anastomotic pseudoaneurysm was retained considering the results of a computed tomography angiography scan, which showed the double localization of the pseudoaneurysm. Surgical management consisted of flattening the pseudoaneurysm along with the interposition of a prosthetic segment. There were no postoperative complications and our patient was well 3 years after discharge.
  
  
  CONCLUSIONS
  Non-anastomotic pseudoaneurysm is a rarely described complication of a axillofemoral bypass graft. To the best of our knowledge, a double localization has not been described in the literature before. Minimally invasive techniques as a treatment option are being widely used as an alternative to open repair.
authors.affiliation: Vascular Surgery Department, Ibn Sina Hospital, Mohamed V University, NAHDA Avenue, Box 45, App 21, Rabat, Morocco. bensaidbadr8@gmail.com.
authors.forename: Badr
authors.initials: B
authors.lastname: Bensaid
authors.affiliation: Vascular Surgery Department, Ibn Sina Hospital, Mohamed V University, NAHDA Avenue, Box 45, App 21, Rabat, Morocco.
authors.forename: Tarek
authors.initials: T
authors.lastname: Bakkali
authors.affiliation: Vascular Surgery Department, Ibn Sina Hospital, Mohamed V University, NAHDA Avenue, Box 45, App 21, Rabat, Morocco.
authors.forename: Youssef
authors.initials: Y
authors.lastname: Tijani
authors.affiliation: Vascular Surgery Department, Ibn Sina Hospital, Mohamed V University, NAHDA Avenue, Box 45, App 21, Rabat, Morocco.
authors.forename: Samir
authors.initials: S
authors.lastname: Elkhalloufi
authors.affiliation: Vascular Surgery Department, Ibn Sina Hospital, Mohamed V University, NAHDA Avenue, Box 45, App 21, Rabat, Morocco.
authors.forename: Brahim
authors.initials: B
authors.lastname: Lekehal
authors.affiliation: Vascular Surgery Department, Ibn Sina Hospital, Mohamed V University, NAHDA Avenue, Box 45, App 21, Rabat, Morocco.
authors.forename: Yassir
authors.initials: Y
authors.lastname: Sefiani
authors.affiliation: Vascular Surgery Department, Ibn Sina Hospital, Mohamed V University, NAHDA Avenue, Box 45, App 21, Rabat, Morocco.
authors.forename: Abess
authors.initials: A
authors.lastname: El Mesnaoui
authors.affiliation: Vascular Surgery Department, Ibn Sina Hospital, Mohamed V University, NAHDA Avenue, Box 45, App 21, Rabat, Morocco.
authors.forename: Younes
authors.initials: Y
authors.lastname: Bensaid
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D001366:Axillary Artery / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D066254:Axillofemoral Bypass Grafting / Q000009:adverse effects*; D005263:Femoral Artery / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Axillofemoral bypass; Case report; Interposition graft; Non-anastomotic pseudoaneurysm; Ringed graft