• Badr Bensaid, Tarek Bakkali, Youssef Tijani, Samir Elkhalloufi, Brahim Lekehal, Yassir Sefiani, Abess El Mesnaoui, and Younes Bensaid.
• Vascular Surgery Department, Ibn Sina Hospital, Mohamed V University, NAHDA Avenue, Box 45, App 21, Rabat, Morocco. bensaidbadr8@gmail.com.
• J Med Case Rep. 2017 Jan 4; 11 (1): 3.

BackgroundA 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.Case PresentationWe 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.ConclusionsNon-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.

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