J Korean Soc Emerg Med.  2014 Aug;25(4):480-483. 10.0000/jksem.2014.25.4.480.

Spontaneous Femoral Artery Pseudoaneurysm Rupture in Systemic Lupus Erythematosus Patient

• Seon KH
• Yoo TH
• Jeong SI
• Kim SJ
• Kim SP

• KMID: 2333906
• DOI: http://doi.org/10.0000/jksem.2014.25.4.480

Abstract

Femoral artery pseudoaneurysm, a very uncommon disease, is usually reported trauma, iatrogenic vascular intervention, and nail fixation in the treatment of fracture. The femoral artery is a major vessel for blood supply to the lower extremities. If the femoral artery is injured, the patient will experience cardiovascular collapse and hypovolemic shock due to massive hemorrhage. We report on the case of a 49-year-old male patient who had been diagnosed with systemic lupus erythematosus (SLE), who was admitted to our hospital with progressive swelling of the right thigh without any trauma history. A computed tomographic scan with arterial enhancement showed a large pseudoaneurysm of the right femoral artery, which was then treated successfully with great saphenous vein graft surgery.

Keyword

Femoral artery; Graft surgery; Great saphenous vein; False aneurysm; Aneurysm; False

MeSH Terms

Aneurysm
Aneurysm, False*
Femoral Artery*
Hemorrhage
Humans
Lower Extremity
Lupus Erythematosus, Systemic*
Male
Middle Aged
Rupture*
Saphenous Vein
Shock
Thigh
Transplants