Charles Petrus Theron, Collen Sandile Nkosi , Lyndon Grant Biddulph
{"title":"Traumatic pseudoaneurysm of the superficial left palmar arch: A case report","authors":"Charles Petrus Theron, Collen Sandile Nkosi , Lyndon Grant Biddulph","doi":"10.1016/j.sycrs.2024.100081","DOIUrl":null,"url":null,"abstract":"<div><div>Pseudoaneurysms in the hands are rare entities, with only a few reported cases in English literature. The majority of these lesions arise from penetrating trauma, previous surgery, or artery puncture. Pseudoaneurysms are frequently missed, hence a strong clinical suspicion is required to make the correct diagnosis in a timely manner. We present a case of traumatic pseudoaneurysm of the superficial palmar arch in a 17-year-old CP child following a fall. The patient had a delayed presentation and was initially misdiagnosed as having a palmar abscess. We performed an ultrasound and CT angiogram to confirm the diagnosis of a superficial palmar arch pseudoaneurysm. We treated the patient surgically, and the wound healed uneventfully. Pseudoaneurysms should be included in the differential diagnosis of palmar masses.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"4 ","pages":"Article 100081"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950103224000811","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Pseudoaneurysms in the hands are rare entities, with only a few reported cases in English literature. The majority of these lesions arise from penetrating trauma, previous surgery, or artery puncture. Pseudoaneurysms are frequently missed, hence a strong clinical suspicion is required to make the correct diagnosis in a timely manner. We present a case of traumatic pseudoaneurysm of the superficial palmar arch in a 17-year-old CP child following a fall. The patient had a delayed presentation and was initially misdiagnosed as having a palmar abscess. We performed an ultrasound and CT angiogram to confirm the diagnosis of a superficial palmar arch pseudoaneurysm. We treated the patient surgically, and the wound healed uneventfully. Pseudoaneurysms should be included in the differential diagnosis of palmar masses.