Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492010000400007
Jornal Vascular Brasileiro
Relato de Caso

Life saving surgery for ruptured pseudo aneurysm of external iliac artery: case report

Cirurgia para salvamento de vida após ruptura de pseudoaneurisma da artéria ilíaca: relato de caso

Raafat Shalabi; Wagih Ouda Ahmed; Samer Mounir Soliman; Ahmed Yousof Kandeel; Khaled Mohammed A. Assiri

http://dx.doi.org/10.1590/S1677-54492010000400007 J Vasc Bras, vol.9, n4, p.241-244, 2010
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Abstract

The incidence of pseudo aneurysm after total hip arthroplasty is extremely rare. The most common mechanism of vascular injury is due to direct trauma during the operative procedure, and the most reported cases are acute in presentation. We reported an unusual case of ruptured pseudo aneurysm and control of life-threatening intra-operative hemorrhage of the external iliac artery in a male patient, 68 years old, with displaced total hip arthroplasty (THA), planned for removal, occurring 2 years after the last hip surgery, in Armed Forces hospital, Southern region, Saudi Arabia. This case highlights the importance of prompt recognition of life-threatening intra-operative hemorrhage to save the patient's life and the limb.

Keywords

Aneurysm, arthroplasty, hemorrhage

Resumo

A incidência de pseudoaneurisma após a artroplastia total de quadril é extremamente rara. O mecanismo mais comum de lesão vascular deve-se ao trauma direto durante o procedimento cirúrgico, e os casos mais relatados são de apresentação aguda. Relatamos um caso incomum de ruptura de pseudoaneurisma e controle de hemorragia intraoperatória com risco de morte da artéria ilíaca externa em um paciente do sexo masculino, de 68 anos, com artroplastia total do quadril deslocada, planejada para remoção, ocorrendo 2 anos depois da última cirurgia de quadril, no Hospital das Forças Armadas, região sul da Arábia Saudita. Este caso destaca a importância do pronto reconhecimento da hemorragia intraoperatória com risco de morte para salvar a vida e o membro do paciente.

Palavras-chave

Falso aneurisma, artroplastia, hemorragia

Referências

Rengsen P, Abbas AA, Choon SK, Tai CC. Pseudoaneurysm of external iliac artery following septic loosening of total hip arthroplasty. MOJ. 2007;1:42-4.

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