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Subclavian Artery Pseudoaneurysm Formation 3 Months after a Game of Rugby Union.

Evans T, Roy S, Rocker M - Case Rep Emerg Med (2015)

Bottom Line: We report a case of delayed diagnosis of a subclavian artery pseudoaneurysm after a closed fracture of the clavicle in a 15-year-old patient, 3 months after the original injury while playing rugby union.This case highlights the need for clinical vigilance when assessing patients, particularly on repeated occasions when their recovery appears to be impaired.A thorough history and clinical examination can raise suspicion of even rare occurrences and aid prompt management.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Royal Glamorgan Hospital, Llantrisant CF72 8XR, UK.

ABSTRACT
Pseudoaneurysms of the subclavian artery remain a rare complication after fracture of the clavicle. We report a case of delayed diagnosis of a subclavian artery pseudoaneurysm after a closed fracture of the clavicle in a 15-year-old patient, 3 months after the original injury while playing rugby union. Despite several attendances to the Emergency Department with vague symptoms, the final diagnosis was confirmed by duplex ultrasound and Computed Tomography of the thorax. Surgical repair was indicated due to acute limb ischaemia from distal embolisation from a large pseudoaneurysm, with the patient making a full recovery. This case highlights the need for clinical vigilance when assessing patients, particularly on repeated occasions when their recovery appears to be impaired. A thorough history and clinical examination can raise suspicion of even rare occurrences and aid prompt management.

No MeSH data available.


Related in: MedlinePlus

3D reconstruction showing posterior view of clavicle.
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Related In: Results  -  Collection


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fig2: 3D reconstruction showing posterior view of clavicle.

Mentions: Subsequent Computed Tomography (CT) of the thorax (Figures 2 and 3) confirmed a diagnosis of a 4.5 × 3.5 × 2.5 cm false aneurysm of the subclavian artery lying on the superficial aspect of the anterior second rib and also showed evidence of the previous mid-clavicle fracture that had healed but malaligned. The CT also showed the distal end of the proximal shaft protruding posteriorly into the false aneurysm.


Subclavian Artery Pseudoaneurysm Formation 3 Months after a Game of Rugby Union.

Evans T, Roy S, Rocker M - Case Rep Emerg Med (2015)

3D reconstruction showing posterior view of clavicle.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4553312&req=5

fig2: 3D reconstruction showing posterior view of clavicle.
Mentions: Subsequent Computed Tomography (CT) of the thorax (Figures 2 and 3) confirmed a diagnosis of a 4.5 × 3.5 × 2.5 cm false aneurysm of the subclavian artery lying on the superficial aspect of the anterior second rib and also showed evidence of the previous mid-clavicle fracture that had healed but malaligned. The CT also showed the distal end of the proximal shaft protruding posteriorly into the false aneurysm.

Bottom Line: We report a case of delayed diagnosis of a subclavian artery pseudoaneurysm after a closed fracture of the clavicle in a 15-year-old patient, 3 months after the original injury while playing rugby union.This case highlights the need for clinical vigilance when assessing patients, particularly on repeated occasions when their recovery appears to be impaired.A thorough history and clinical examination can raise suspicion of even rare occurrences and aid prompt management.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Royal Glamorgan Hospital, Llantrisant CF72 8XR, UK.

ABSTRACT
Pseudoaneurysms of the subclavian artery remain a rare complication after fracture of the clavicle. We report a case of delayed diagnosis of a subclavian artery pseudoaneurysm after a closed fracture of the clavicle in a 15-year-old patient, 3 months after the original injury while playing rugby union. Despite several attendances to the Emergency Department with vague symptoms, the final diagnosis was confirmed by duplex ultrasound and Computed Tomography of the thorax. Surgical repair was indicated due to acute limb ischaemia from distal embolisation from a large pseudoaneurysm, with the patient making a full recovery. This case highlights the need for clinical vigilance when assessing patients, particularly on repeated occasions when their recovery appears to be impaired. A thorough history and clinical examination can raise suspicion of even rare occurrences and aid prompt management.

No MeSH data available.


Related in: MedlinePlus