Pseuodaneurysm of left femoral profunda femoris post dynamic hip screw insertion

Case contributed by Dr Nolan Walker

Presentation

Persistent left thigh pain post left DHS requiring regular dihydrocodeine to control.

Patient Data

Age: 73
Gender: Male

Post-op X-ray reveals subtle soft tissue swelling at the medial aspect of the left thigh

X-ray

Serial post-operative plain films

Plain film taken 5 months post post-operatively. Soft tissue swelling on the medial aspect of the left thigh with scalloping of the medial cortex of the proximal femur.

X-ray post DHS taken 2 months post procedure reveals soft tissue swelling and displacement of calcified left SFA. Early medial femoral cortical thinning is present,

CTA study performed 5 months post-operatively  revealed soft pseudoaneurysm of left profunda branch.

Successful coiling of Left femoral profunda pseudo-aneurysm.

Case Discussion

Pseudoaneuysms have been reported in the literature post DHS.

In this case the patient presented with persistent thigh pain. The findings are visible on the plain film though subtle initially.

Review of the soft tissues in the postoperative X-ray in conjunction with awareness of this complication can help the radiologist make an early diagnosis.

Ultrasound could be used if there is a suspicion of pseudoaneurysm in order to decrease radiation dose.

 

Procedure performed with:
Dr Konstantinos Katsanos, MSc, MD, PhD, EBIR
Consultant Interventional Radiologist

Guy's and St. Thomas' Hospitals

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Case information

rID: 37452
Case created: 9th Jun 2015
Last edited: 16th Nov 2016
Inclusion in quiz mode: Included

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