• Der Unfallchirurg · Nov 2008

    Case Reports

    [Pseudoaneurysm - a rare complication after insertion of a distal locking bolt of an intramedullary femur nail].

    • O Kilian, A C Langheinrich, J Tofighi, and R Schnettler.
    • Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Giessen und Marburg, Rudolf-Buchheim-Str. 7, 35385 Giessen, Deutschland. olaf.kilian@chiru.med.uni-giessen.de
    • Unfallchirurg. 2008 Nov 1; 111 (11): 923-6.

    AbstractA pseudoaneurysm is caused by an extravasal hematoma after vessel injury. Persistent blood supply via the afferent artery can lead to aneurysm growth with potential rupture of the lesion. We present a case of a 27-year-old man who developed three independent pseudoaneurysms after insertion of percutaneous distal locking bolts for static locking of an intramedullary femur nail. Color-coded Doppler sonography and intraarterial subtraction angiography were used to detect the lesion. Successful treatment consisted of endovascular embolization (coiling) with injection of a platinum coil into the aneurysm's supplying vessel. Pseudoaneurysm after fracture or fracture fixation represents a rare complication, but the risk of acute bleeding by pseudoaneurysm rupture should not be neglected.

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