Peroneal Pseudoaneurysm as a Complication of Emergency Thromboembolectomy and Treatment with Coil Embolisation

Abstract

Peroneal pseudoaneurysm is a rarely seen as a complication due to a variety of treatment strategies. Continuous blood flow and decreased vascular wall support associated with pseudoaneurysm can cause rapid enlargement, compression of venous and nerve structures, rupture and mortality. An 84-year-old female patient presented to the emergency department with sudden onset pain and paleness in the right lower extremity. Doppler ultrasound revealed thrombus in the right common femoral artery. The patient underwent emergency embolectomy. Doppler ultrasound due to continuing symptoms on postoperative day one showed 23x30 mm pseudoaneurysm of the distal third of the right peroneal artery. Left femoral artery was catheterised and the peroneal artery aneurysm was coil embolised successfully. Timely diagnosis of complications and rapid treatment are essential in patients with recent vascular interventions. Palpable pulses and intact neurological examination do not rule out most of the complications which would require surgery for correction.

Keywords

• Embolectomy
• pseudoaneurysm
• coil embolisation