tailieunhanh - Báo cáo y học: "Compound and acutely ruptured false aneurysm of the brachial artery: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Compound and acutely ruptured false aneurysm of the brachial artery: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Compound and acutely ruptured false aneurysm of the brachial artery a case report Elias Panagiotopoulos1 Efstratios Athanaselis1 Charalampos Matzaroglou1 Georgios Kasimatis1 John Gliatis1 and Ioannis Tsolakis2 Addresses Department of Orthopaedic Surgery University Hospital of Patras . 26500 Greece and 2Vascular Unit University Hospital of Patras . 26500 Greece Email EP - ecpanagi@ EA - strathan@ CM - orthopatras@ GK - JG - gliatis@ IT - anmatas@ Corresponding author Published 5 June 2009 Received 18 Feburary 2008 Journal of Medical Case Reports 2009 3 6627 doi 1752-1947-3-6627 Accepted 22 January 2009 This article is available from http jmedicalcasereports article view 6627 2009 Panagiotopoulos et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction A patient with a neglected compound acutely ruptured false aneurysm of the brachial artery which developed after a periprosthetic fracture of the right humerus is reported. Case presentation An 84-year-old Greek woman underwent right shoulder hemiarthroplasty 2 years before a periprosthetic fracture which was treated conservatively in another hospital. After removing the U-slab herself she noticed the development of an ulcer on the mid-humerus with continuous oozing but no fever. This led to above-elbow amputation in an attempt to save the patient s life. Conclusion It is hoped that by awareness of such a possibility coupled with an early diagnosis based on the clinical picture and imaging modalities such unfortunate results can be avoided in the future. In case of increasing displacement at the