Common femoral artery pseudoaneurysm

Case contributed by Dr Omar Bashir

Presentation

50 year old female with groin swelling and pain following coronary angioplasty.

Patient Data

Age: 50
Gender: Female

Axial contrast enhanced CT in arterial phase demonstrates a 2.5 cm pseudoaneurysm arising from the right common femoral artery. There is a associated with a large retroperitoneal hematoma displacing the urinary bladder to the left. Incidentally there a large right ovarian cyst. Hyperdense material in the gallbladder indicates vicarious excretion of contrast (from the previous coronary angioplasty procedure)

Case Discussion

This patient developed a false aneursym at the puncture site ie right common femoral artery. The puncture site is suprainguinal and perhaps post procedure compression was suboptimal contributing to this complication.

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Case information

rID: 18588
Published: 13th Jul 2012
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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