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      [Pseudoaneurysm - a rare complication after insertion of a distal locking bolt of an intramedullary femur nail].

      1 , , ,

      Der Unfallchirurg

      Springer Nature America, Inc

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          Abstract

          A pseudoaneurysm is caused by an extravasal hematoma after vessel injury. Persistent blood supply via the afferent artery can lead to aneurysm growth with potential rupture of the lesion. We present a case of a 27-year-old man who developed three independent pseudoaneurysms after insertion of percutaneous distal locking bolts for static locking of an intramedullary femur nail. Color-coded Doppler sonography and intraarterial subtraction angiography were used to detect the lesion. Successful treatment consisted of endovascular embolization (coiling) with injection of a platinum coil into the aneurysm's supplying vessel. Pseudoaneurysm after fracture or fracture fixation represents a rare complication, but the risk of acute bleeding by pseudoaneurysm rupture should not be neglected.

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          Author and article information

          Journal
          Unfallchirurg
          Der Unfallchirurg
          Springer Nature America, Inc
          0177-5537
          0177-5537
          Nov 2008
          : 111
          : 11
          Affiliations
          [1 ] Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Giessen und Marburg, Rudolf-Buchheim-Str. 7, 35385 Giessen, Deutschland. olaf.kilian@chiru.med.uni-giessen.de
          Article
          10.1007/s00113-008-1445-5
          18600310

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