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Monday, 8 July 2013

CASE 199: A PSEUDOANEURYM of STAB WOUND, Dr NGUYỄN NGHIỆP VĂN-Dr NGUYỄN HOÀI THU, MEDIC MEDICAL CENTER, HCMC, VIETNAM


A 20 yo female patient got a stab wound at her left forearm 2 months before. She presented a swelling pulsatile mass at her left forearm. Color Doppler ultrasonography shows  a pseudoaneurysm at the middle part of the left ulnar artery, d =3.2 x 3.7cm in diameter. ( see 3 images)
 

ANGIO detected pseudoaneurysm at the middle part of left ulnar artery. ( see 3 images)
 

 

Left upper extremity angiography : The half-moon images  of contrast material filling showed in the left ulnar artery.

 

Because the sac had small pedicle (seen on Color Doppler ), we decided to embolization the pseudoaneurysm by histoacryl glue. After embolosclerotherapy, the pseudoaneurysmal sac disappeared.

 

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