Ordinary injury, big surprise - Traumatic false aneurysm and arteriovenous fistula of the posterior tibial artery after civilian trauma: A case report

J Scherer; F P Schäfer; A R Kobe; F Messmer; H-C Pape; T Rauer

doi:10.1016/j.tcr.2021.100432

Ordinary injury, big surprise - Traumatic false aneurysm and arteriovenous fistula of the posterior tibial artery after civilian trauma: A case report

Trauma Case Rep. 2021 Feb 18:32:100432. doi: 10.1016/j.tcr.2021.100432. eCollection 2021 Apr.

Authors

J Scherer¹, F P Schäfer¹, A R Kobe², F Messmer², H-C Pape¹, T Rauer¹

Affiliations

¹ University Hospital of Zurich, Department of Traumatology, Rämistr. 100, 8091 Zürich, Switzerland.
² University Hospital of Zurich, Department of Diagnostic and Interventional Radiology, Rämistr. 100, 8091 Zürich, Switzerland.

Abstract

Introduction: False traumatic aneurysm (FTA) or pseudoaneurysm and traumatic arteriovenous fistulas (TAVF) are rare pathologies in civilian trauma and mainly result from stabs or gunshot wounds. The posterior tibial artery as site of trauma is very rare.

Presentation of case: We report on a 39-year old female patient who was suffering from combined FTA and TAVF of the posterior tibial artery after falling into a wine glass. CT-imaging as well as duplex ultrasound and selective arteriography were performed, and two stent-grafts were inserted.

Discussion: Based on the presented case, incidence of the described pathology, treatment options and outcomes are discussed.

Conclusion: Adequate imaging in penetrating wounds to the extremities is crucial in order to provide diagnosis and treatment of concomitant lesions.

Keywords: Civilian; False traumatic aneurysm; Posterior tibial artery; Trauma; Traumatic arteriovenous fistula.

Publication types

Case Reports