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Posttraumatic pseudoaneurysm of a superficial branch of the ulnar artery: A case report.

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العنوان: Posttraumatic pseudoaneurysm of a superficial branch of the ulnar artery: A case report.
المؤلفون: Maertens A; Reconstructive and Plastic Surgery Service, CHU-Nice, Senegal., Tchoungui Ritz FJ; Reconstructive and Plastic Surgery Service, CHU-Nice, Senegal; Faculty of Medicine, Pharmacy and Odontology, Cheikh Anta Diop University, PO Box: 5005, Dakar, Senegal. Electronic address: fredericatchoungui@gmail.com., Poumellec MA; Reconstructive and Plastic Surgery Service, CHU-Nice, Senegal., Camuzard O; Reconstructive and Plastic Surgery Service, CHU-Nice, Senegal., Balaguer T; Reconstructive and Plastic Surgery Service, CHU-Nice, Senegal.
المصدر: International journal of surgery case reports [Int J Surg Case Rep] 2020; Vol. 75, pp. 317-321. Date of Electronic Publication: 2020 Sep 11.
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101529872 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2210-2612 (Print) Linking ISSN: 22102612 NLM ISO Abbreviation: Int J Surg Case Rep Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Amsterdam] : Elsevier B.V.
مستخلص: Introduction: Hand and Upper limb pseudoaneurysms are uncommon and misdiagnosed. The delayed diagnostic and treatment lead to severe vascular and nerve complications. Many mechanisms are involved like acute injury, chronic micro traumatism of the hand, with specific clinic and para clinic signs.
Presentation of Case: The patient was a 30-years old woman, right-handed, admitted at the emergencies for a penetrating hand injury at the junction of the middle third - distal third of the left forearm, palmar surface, with a good radial and ulnar pulse, without sensory or motor deficit. No vessels injuries observed per operatively. A post-operative worsened pain opposite to the scar with a purplish pulsatile swelling appeared after 20 days of complete wound healing. A needle puncture with a red blood contain, motivated an US Doppler revealing a pseudoaneurysm of a superficial artery of the ulnar artery, surgically resected, without complication.
Discussion: Two main mechanisms are involved in upper limb especially hand pseudoaneurysm: penetrating trauma and repeated micro traumatism. Superficial vessels are rarely damaged compare to deep subfascial vessels according to Laplace law. The diagnostic is clinical confirmed with the medical imaging. A pseudoaneurysm is suspected in front of a pulsatile painful tumefaction following a vessel path, with medical imaging in favor. A delayed misdiagnosis lead to a delayed care with severe complications as thrombosis, embolism and vessel. The therapeutic care is mainly surgical.
Conclusion: This case reports a delayed diagnostic of posttraumatic pseudoaneurysm of a superficial branch of the ulnar artery, managed with a surgical resection.
(Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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فهرسة مساهمة: Keywords: Case report; Hand injury; Pseudoaneurysm; Ulnar artery
تواريخ الأحداث: Date Created: 20200927 Latest Revision: 20231112
رمز التحديث: 20231112
مُعرف محوري في PubMed: PMC7522529
DOI: 10.1016/j.ijscr.2020.09.029
PMID: 32980701
قاعدة البيانات: MEDLINE
الوصف
تدمد:2210-2612
DOI:10.1016/j.ijscr.2020.09.029