Article Text
Summary
Pseudoaneurysms adjacent to exostoses have been commonly reported in the femoral and popliteal arteries and only rarely in the upper extremity. We describe a case of an 18-year-old man with multiple hereditary exostoses who developed a brachial artery pseudoaneurysm after minor trauma to his right upper arm, adjacent to a known lesion. He was referred to a vascular surgeon who removed the pseudoaneurysm and repaired the artery with a saphenous vein graft. We encourage a high suspicion of vascular injury even after minor trauma when an osteochondroma is adjacent to a vascular structure.
- orthopaedics
- pathology
- orthopaedic and trauma surgery
- vascular surgery
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Footnotes
Contributors DKB: Lead author, collated the information regarding the case and produced the text body and original drafts. HYB-E: Contributing author, produced the literature review and edited the initial drafts. SAR: Contributing author, coauthored the text body and provided senior advice on the case. JAB: Supervisor, consultant in charge of patient care and reviewed and edited the final drafts.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.