61 years old man with a pulsatile mass in his righ

 

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Doctor's Information

Name :  Hussein
Family :Soleiman Tabar
Affiliation : ----------------
Academic Degree: ----------------
Email :   This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident :  ----------------

 

Patient's Information

Gender :  Male
Age :  61

 

Case Section

Cardiovascular

 

Clinical Summary

61 years old man with a pulsatile mass in his right groin.

 

 

Imaging Procedures and Findings

CT angiography images show a huge aneurysm of proximal right femoral artery with mural thrombosis and maximum diameter of 8 cm. Distal to aneurysm blood supply is impaired.

 

Discussion

: Aneurysms may be the result of atherosclerosis, trauma, infection, vasculitis, or connective tissue disorders. Traumatic aneurysms are pseudoaneurysms and are related to the site of injury. Mycotic aneurysms of the extremities are rare but should be considered when the location is unusual for atherosclerosis and the aneurysm architecture is quite bizarre in nature. Atherosclerotic aneurysms most often occur in the iliac and femoral arteries of the pelvis, the popliteal arteries of the lower limbs, and the subclavian arteries of the upper extremities.

 

Final Diagnosis

Femoral artery aneurysm

 

References

Brant, William E.; Helms, Clyde A. Fundamentals of Diagnostic Radiology, 3rd Edition

 

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