Pseudoaneurysm of superficial and deep arch of the hand after penetrating wound

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• 作者：Asra Hashmi ; Adam Schumaier ; Faraz Ali Khan…
• 关键词：Pseudoaneurysm ; Superficial arch ; Deep arch ; Penetrating hand injury
• 刊名：European Journal of Plastic Surgery
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：40
• 期：1
• 页码：75-78
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Plastic Surgery;
• 出版者：Springer Berlin Heidelberg
• ISSN：1435-0130
• 卷排序：40

文摘

Pseudoaneurysm of the hand is often the result of focal penetrating trauma. The goal of this report is to describe a rare case of a patient with a pseudoaneurysm of the superficial palmar arch, and deep arch, and her subsequent surgical treatment. A 67-year-old patient sustained an accidental laceration to her palm, with a kitchen knife. The patient was initially treated in the Emergency Department, with a simple repair of a 1 cm laceration. No imaging was obtained at that time. The patient subsequently developed a large, pulsatile, painful mass in her palm near the site of injury, and presented to Emergency Department again for evaluation. Using a color flow Doppler US, the patient was initially diagnosed with a pseudoaneurysm of the superficial palmar arch. Superficial aneurysm was treated with two thrombin injections, after which a CT angiogram was obtained that showed a pseudoaneurysm in the deep arch. The patient was subsequently taken to the operating room, and both pseudoaneurysms were successfully resected and repaired. The patient did well after surgery, with no lasting sensory or motor deficits to the hand, and patency of superficial and deep arch, as well as, well flow to the digital arteries. To our knowledge, this is the only case reporting post-traumatic pseudoaneurysm of superficial and deep arch. Although, a rare phenomenon, pseudoaneurysm of the superficial palmar arch and deep arch can coexist.