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Ann Vasc Surg. 2017 Apr;40:296.e5-296.e13. doi: 10.1016/j.avsg.2016.07.103. Epub 2016 Nov 27.

Pseudoaneurysms after Ankle Sprain: Report of Three Cases Successfully Cured by Nonsurgical Treatment.

Author information

1
Département de Radiologie et d'Imagerie Médicale, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Bruxelles, Belgium. Electronic address: jacques.malghem@uclouvain.be.
2
Département de Radiologie et d'Imagerie Médicale, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Bruxelles, Belgium.

Abstract

Pseudoaneurysm is a rare complication of ankle sprain, with 18 case reports published in the current literature. In the vast majority of the cases, they were treated surgically. We present 3 cases of pseudoaneurysm following ankle sprain, treated by nonsurgical methods in 2 cases, and spontaneously healed in another. The diagnosis was made between 2 and 4 weeks after traumatism, by ultrasonography and arteriography in 2 cases, and only by ultrasonography in a third case. The pseudoaneurysms originated respectively from the perforating fibular artery, the dorsal pedis artery, and a lateral malleolar artery. Largest diameters of the pseudoaneurysms ranged from 2.4 to 6 cm. Patients were successfully treated by thrombin injection in a case and by coil embolization in another. Spontaneous thrombosis was demonstrated at follow-up in the third case. These cases suggest that a nonsurgical treatment can be considered for pseudoaneurysms complicating ankle sprains.

PMID:
27903468
DOI:
10.1016/j.avsg.2016.07.103
[Indexed for MEDLINE]

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