Presentation
Patient with a history of chronic kidney disease. One week ago, the patient underwent placement of a hemodialysis catheter via a transfemoral approach. The attempt was unsuccessful. After the procedure, the patient developed a pulsating lesion in the proximal one-third of the femoral artery.
Patient Data
Swelling on proximal part of the left thigh.
A lesion connected to the superficial femoral vein in the proximal third is observed with liquid characteristics, inflow and outflow. On colour Doppler imaging, there is a "yin-yang" pattern.
Case Discussion
The history of puncture of the vasculature associated with the pulsatile mass and the finding of the lesion with a response to colour Doppler with a yin-yang pattern are highly suggestive of pseudoaneurysm. The patient will be taken to the operating room for repairs.
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