Post-traumatic pseudoaneurysm - probable

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Follow-up post road traffic accident. with internal fixation of symphysis pubis fracture and perineal haematoma evacuation.

Patient Data

Age: 25 years
Gender: Male

Post traumatic saccular lesion is seen near the left pubic ramus. It shows avid enhancement in arterial phase. It represents post traumatic pseudoaneurysm that is seen in close relation to the left inferior pubic ramus. It becomes larger in size and irregular in contour by comparing to the preceding study. Multiple marginally enhanced pelvic loculation & abscess and pelvic intermuscular collections are seen.

Case Discussion

The saccular lesion is seen near the left pubic ramus. It shows avid enhancement in arterial phase. It is likely pseudoaneurysm. It seems to be fed from the obturator branch of the left internal iliac artery (may its pubic branch with collaterals from other surrounding areas).

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Case information

rID: 31213
Case created: 24th Sep 2014
Last edited: 13th Mar 2016
System: Vascular
Inclusion in quiz mode: Included

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