Case Reports
A rare case of true tibioperoneal trunk aneurysm resulting in foot drop
Abstract A 75-year-old man presented with a six-week history of his right foot “making a slapping sound” whilst he walked and consequently having to adopt a “high-stepping gait”. Examination revealed a pulsatile swelling in his right popliteal fossa and signs of a peroneal nerve palsy. Computed tomography angiography (CTA) revealed a 2.5 cm tibioperoneal trunk…
Axillary EndoVac procedure: a novel hybrid procedure for an infected axillary-profunda bypass
Abstract This paper reports an axillary artery EndoVac procedure for the management of an infected left axillary-profunda polytetrafluoroethylene (PTFE) bypass. Our patient presented with peri-graft infection and dehiscence of the distal anastomosis. Three separate surgical procedures subsequently took place over a seven-day period: day 1 required profunda artery ligation with sub-total explantation of the mid…
A rare congenital abnormality mimicking the appearance of a type A aortic dissection
Abstract Type A aortic dissection is a tear in the wall of the ascending aorta and/or arch between the tunica intima and tunica media layers. This is a surgical emergency and requires immediate surgical repair. Aortic CT angiography is essential for classification, assessing extent of the disease and planning the management. An intimal flap on…
A rare case of a dog bite leading to bilateral lower limb amputations
Abstract Capnocytophaga canimorsus is a rare cause of bacteraemia, occurring usually after dog bites, and can have devastating consequences for patients. This report describes the case of a 65-year-old woman who presented acutely unwell 6 days after being bitten on the hand by a dog. She suffered consequences of overwhelming sepsis, disseminated intravascular coagulation and…
Ectopic thyroid tissue presenting as a carotid body paraganglioma
Abstract Ectopic thyroid tissue is a rare developmental abnormality, typically presenting with midline ectopia due to incomplete embryological migration via the thyroglossal duct. The presence of ectopic thyroid tissue lateral to the midline is very rare, accounting for 1–3% of all ectopic thyroid tissue. Clinically, these lesions are often mistaken for other diagnoses including enlarged…
A case of classic Kaposi’s sarcoma masquerading as a vascular malformation
Abstract A 45-year-old man presented with painful lumps on his right foot. Imaging suggested a vascular malformation and the patient was referred first to a vascular surgeon, then to a specialist vascular malformation centre. MRA and catheter angiography confirmed a high flow lesion. However, there was clinical and radiological suspicion that an alternative diagnosis was…
