Yonsei Med J.  2006 Feb;47(1):148-151. 10.3349/ymj.2006.47.1.148.

Deep Femoral Artery Aneurysm Presenting as Lower Limb Swelling: A Case Report

• Cho YP
• Choi SJ
• Kwon TW
• Han MS
• Kim YH
• Kim CW
• Lee SG

• KMID: 1715887
• DOI: http://doi.org/10.3349/ymj.2006.47.1.148

Abstract

We report a rare case of lower limb swelling due to compression of the superficial femoral vein by a solitary deep femoral artery aneurysm. The patient was a 58-year-old man presenting with acute swelling of the right lower limb caused by deep venous thrombosis. A multi-detector computed tomographic scan (CT) confirmed the diagnosis of a deep femoral artery aneurysm and revealed no evidence of aneurysms or occlusive lesions in the other arteries. Aneurysmectomy and ligation of the deep femoral artery were successfully performed. Preoperative multi-detector CT scanning is a valuable, non-invasive diagnostic tool to delineate not only the state of the aneurysm, but also that of the distal arterial tree.

Keyword

Deep femoral artery; aneurysm; computed tomography

MeSH Terms

Ultrasonography, Doppler, Color
Tomography, X-Ray Computed
Middle Aged
Male
*Leg
Humans
*Femoral Artery/radiography/surgery/ultrasonography
Edema/*diagnosis
Aneurysm/*diagnosis/radiography/ultrasonography

Figure

• 

  Fig. 1 (a) Preoperative color Doppler ultrasound showed a huge deep femoral artery aneurysm (A), measuring 8.5- × 9.0- × 7.5-cm. (b) The deep femoral artery aneurysm compressed the superficial femoral vein (v) resulting in venous stasis with suspicious soft thrombus formation in the right lower extremity veins (a; superficial femoral artery). (c) Preoperative multi-detector CT scan revealed a large pseudoaneurysm (A, black arrows) arising from the deep femoral artery. There was no evidence of aneurysms or occlusive lesions in the other arteries.

• 

  Fig. 2 Postoperative color Doppler ultrasound showed patent superficial femoral (SFV) and popliteal veins.

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