Pseudoaneurysm of the hand is a rare condition; most are treated surgically. Ultrasound guided thrombin injection has not previously been reported as a treatment option for pseudoaneurysms of the deep palmar arch.
A man was referred to the emergency department with a swollen, painful hand after penetrating trauma. On physical examination, a pulsating tumor was found on the dorsum of the hand. Imaging revealed a pseudoaneurysm vascularized by the deep palmar arch. Ultrasound guided percutaneous thrombin injection was successfully performed.
Pseudoaneurysms of the deep palmar arch are infrequently diagnosed or described in literature.
Current medical literature describes surgery as the preferred treatment option.
US-guided percutaneous thrombin injection is a safe alternative option in the treatment of deep palmar arch pseudoaneurysms.