Peroneal Artery Pseudo-Aneurysm Following Blunt Injury
V. D. Tzilalis*, K. Karliaftis**, A. Tsakiris***, M. K. Lazarides*
Vascular Surgery Department*, Demokritos University Thrace, Alexandroupolis ; 2nd Orthopaedic Surgery Department**, Plastic Surgery Department***, 401 Gen. Military Hosp., Athens, Greece.
Keywords. Peroneal artery ; pseudo-aneurysm ; trauma.
Abstract. The peroneal artery is injured less frequently than the popliteal and tibial arteries, because of its anatomical relationships. Pseudo-aneurysm of the peroneal artery due to a blunt injury is a rare complication. These injuries are usually occult, but more have been identified with the introduction and increasing use of angiography, following a high clinical suspicion of the trauma team involved. We report a case of peroneal artery false aneurysm following blunt trauma, presented with intermittent haemorrhage. In trauma, isolated peroneal artery pseudo-aneurysms, although rare, may occur. Early diagnosis can be confirmed by angiography and when less-invasive procedures cannot be applied, a posterior approach is an attractive surgical option in the management of proximal peroneal artery traumatic lesions.