• Prabhat Silwal, Robin Man Karmacharya, Satish Vaidya, Shashank Shrestha, and Mahesh Mani Adhikari.
• Cardio-thoracic and Vascular Unit, Department of Surgery, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal.
• JNMA J Nepal Med Assoc. 2022 Mar 11; 60 (247): 310-313.

AbstractSpontaneous femoral artery pseudoaneurysm in a young person with no comorbidity is a rare occurrence. A 30 years old gentleman presented to our hospital with complaints of painful swelling of spontaneous onset in the right inguinal region for 15 days. He had undergone incision and drainage of the contents of the swelling five days back but he suffered from a recurrence of the painful right inguinal swelling and persistent bleeding from the incision site for four days. Computed tomography showed a pseudoaneurysm of the right common femoral artery. It was treated surgically by emergency exploration, hematoma evacuation, removal of pseudoaneurysm, and repair of the defect in the right common femoral artery. In this case, we were fortunate that inadvertent incision of the pseudoaneurysm didn't result in a massive haemorrhage. This serves as a reminder that the possibility of a femoral artery pseudoaneurysm should be considered when evaluating a swelling of the inguinal region.

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