Post-Traumatic Dorsalis Pedis Pseudo-aneurysm Caused by Crush Injury

Abstract

Introduction: This is the report of an unusual case of a dorsalis pedis artery pseudo-aneurysm resulting from trauma in a 61 year old farmer. Report: One year previously, the patient's right foot had been crushed under a tractor wheel. The patient complained of pain and pulsatile soaring swelling on his right foot which he noticed two months before presentation. Radiological examinations revealed a pseudo-aneurysm of the dorsalis pedis artery. Resection of the aneurysm was completed without complications. Pathological findings confirmed an aneurysm of traumatic rather than atherosclerotic aetiology. Discussion: The patient remains under follow up without ischaemia. False aneurysms should be treated by surgical or endovascular intervention when they are detected. Keywords: Dorsalis pedis artery, Peripheral artery, Pseudoaneurysm, Surgery