Clinical medicine insights. Case reports · 2025
Delayed-Onset Pseudoaneurysm of the Superior Lateral Genicular Artery Following Total Knee Arthroplasty: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Galassi Luca, Santi Giulio, Mercandalli Giulio, Ravini Matteo Lino, Cugliari Marianna
Аннотация
BACKGROUND: Pseudoaneurysm of the superior lateral genicular artery (SLGA) is a rare vascular complication following total knee arthroplasty (TKA), with an incidence ranging from 0.03% to 0.2%. Most cases occur in the immediate postoperative period while delayed presentation months after surgery can be often misdiagnosed as infection or hemarthosis.
CASE PRESENTATION: A 62-year-old male smoker with previous TKA presented to the emergency department with knee pain and a palpable pulsatile mass on the lateral side of the right knee. Clinical evaluation with doppler ultrasonography and CT scan showed the presence of a 1.5 cm pseudoaneurysm of the SLGA. Initial conservative management with manual compression proved ineffective thus given the high risk of rupture, definitive surgical exclusion was performed with no post-procedural complications.
CONCLUSION: Delayed SLGA pseudoaneurysms typically present with nonspecific symptoms like pain, swelling and limited ROM. Diagnosis relies on imaging while surgical ligation proved to be an effective treatment. Pseudoaneurysm should be considered in post-TKA patients with unexplained knee swelling and pain, even months after surgery. Early diagnosis through second level imaging, multidisciplinary collaboration and timely surgical intervention are crucial for preventing complications.
CASE PRESENTATION: A 62-year-old male smoker with previous TKA presented to the emergency department with knee pain and a palpable pulsatile mass on the lateral side of the right knee. Clinical evaluation with doppler ultrasonography and CT scan showed the presence of a 1.5 cm pseudoaneurysm of the SLGA. Initial conservative management with manual compression proved ineffective thus given the high risk of rupture, definitive surgical exclusion was performed with no post-procedural complications.
CONCLUSION: Delayed SLGA pseudoaneurysms typically present with nonspecific symptoms like pain, swelling and limited ROM. Diagnosis relies on imaging while surgical ligation proved to be an effective treatment. Pseudoaneurysm should be considered in post-TKA patients with unexplained knee swelling and pain, even months after surgery. Early diagnosis through second level imaging, multidisciplinary collaboration and timely surgical intervention are crucial for preventing complications.