International Journal of Surgery Research

International Journal of Surgery Research


International Journal of Surgery Research
International Journal of Surgery Research
Vol. 3, Issue 2 (2021)

A rare paediatric case of post-traumatic pseudo aneurysm of posterior tibial artery


Ramesh M Tambat, Ashok V Kulkarni, Shabnam Sachdeva, Arshiya Sultana Khanum, Siddesh Guttidurga Basavaraj, Yogendra Shrestha

Background: The PTA pseudoaneurysm (PSA) is a rare condition with only a few cases reported in the paediatric age group. Case history: A 9-year-old boy presented to surgery OPD with complaints of painless swelling near the right ankle joint post penetrating trauma over the right ankle joint 4 months ago. Intra operatively: Excision and ligation of a fibrous aneurysmal sac arising from PTA that measured approximately 3×3 cm was done. Discussion: Aneurysms are more common in the proximal arteries such as femoral and popliteal arteries compared to distal arteries. It is a rare pathology of the infra-popliteal area, where pseudo aneurysms are prevalent and trauma is the most common cause. Controversy exists as to whether the treatment of PSA is non-surgical or surgical. Treatment depends on location and presence of associated arterial competency. Conclusion: Surgical ligation is the safest approach for this type of condition, with a minimal risk of complications and a high chance of success. Primary care providers should be aware of the possibility of PSA at the ankle after penetrating/blunt trauma; therefore, a thorough and complete assessment, including a neurovascular examination, is critical, and the injured vessels should be repaired as soon as possible.
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How to cite this article:
Ramesh M Tambat, Ashok V Kulkarni, Shabnam Sachdeva, Arshiya Sultana Khanum, Siddesh Guttidurga Basavaraj, Yogendra Shrestha. A rare paediatric case of post-traumatic pseudo aneurysm of posterior tibial artery. International Journal of Surgery Research, Volume 3, Issue 2, 2021, Pages 31-34
International Journal of Surgery Research