Case Report
Traumatic superficial temporal artery pseudoaneurysm managed with ultrasound-guided compression
Abstract Superficial temporal artery aneurysms are rare, accounting for approximately 1% of all arterial aneurysms, with 95% of these being pseudoaneurysms. They are most commonly caused by trauma to the temporal region. Although ultrasound-guided compression has been described as a management technique, it has been believed to be ineffective. This report describes the case of…
Read MoreA 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…
Read MoreAxillary 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…
Read MoreA 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…
Read MoreA 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…
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