Chronic Expanding Hematoma in the Popliteal Fossa after Pseudoaneurysm Surgery because of Nail Puncture
Hematomas caused by surgery or trauma that persist and expand slowly for more than a month are defined as chronic expanding hematomas (CEH). Magnetic resonance imaging (MRI) is useful for the diagnosis. Total excision with the pseudocapsule is the treatment method. Pseudoaneurysms result from arteri...
Saved in:
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2014-01-01
|
Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2014/961691 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832545556487995392 |
---|---|
author | Serdar Yilmaz Deniz Cankaya Alper Deveci Bulent Ozkurt Mehmet Emin Simsek Abdullah Yalcin Tabak Murat Bozkurt |
author_facet | Serdar Yilmaz Deniz Cankaya Alper Deveci Bulent Ozkurt Mehmet Emin Simsek Abdullah Yalcin Tabak Murat Bozkurt |
author_sort | Serdar Yilmaz |
collection | DOAJ |
description | Hematomas caused by surgery or trauma that persist and expand slowly for more than a month are defined as chronic expanding hematomas (CEH). Magnetic resonance imaging (MRI) is useful for the diagnosis. Total excision with the pseudocapsule is the treatment method. Pseudoaneurysms result from arterial wall disruptions and can be mistaken for CEH. We present a rare case report of a 45-year-old man with a large, painful swelling in his left popliteal fossa. He had a puncture wound by a nail 11 years ago and a gradually expanding mass occurred in his popliteal fossa. A pseudoaneurysm was detected and operated a year later. After surgery, a gradually expanding mass recurred in his popliteal fossa. On the arteriography, the popliteal artery was occluded and the blood flow was maintained with collateral vessels. On MRI, an enormous swelling of 115 × 107 × 196 cm in diameter was seen. It was diagnosed as CEH and was excised completely protecting the collateral vessels and there was no recurrence after a year from the surgery. |
format | Article |
id | doaj-art-120d2ae703ba4486852100d022c75688 |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2014-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-120d2ae703ba4486852100d022c756882025-02-03T07:25:25ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/961691961691Chronic Expanding Hematoma in the Popliteal Fossa after Pseudoaneurysm Surgery because of Nail PunctureSerdar Yilmaz0Deniz Cankaya1Alper Deveci2Bulent Ozkurt3Mehmet Emin Simsek4Abdullah Yalcin Tabak5Murat Bozkurt6Department of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Ankara Ataturk Training and Research Hospital, Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Ankara Ataturk Training and Research Hospital, Ankara, TurkeyHematomas caused by surgery or trauma that persist and expand slowly for more than a month are defined as chronic expanding hematomas (CEH). Magnetic resonance imaging (MRI) is useful for the diagnosis. Total excision with the pseudocapsule is the treatment method. Pseudoaneurysms result from arterial wall disruptions and can be mistaken for CEH. We present a rare case report of a 45-year-old man with a large, painful swelling in his left popliteal fossa. He had a puncture wound by a nail 11 years ago and a gradually expanding mass occurred in his popliteal fossa. A pseudoaneurysm was detected and operated a year later. After surgery, a gradually expanding mass recurred in his popliteal fossa. On the arteriography, the popliteal artery was occluded and the blood flow was maintained with collateral vessels. On MRI, an enormous swelling of 115 × 107 × 196 cm in diameter was seen. It was diagnosed as CEH and was excised completely protecting the collateral vessels and there was no recurrence after a year from the surgery.http://dx.doi.org/10.1155/2014/961691 |
spellingShingle | Serdar Yilmaz Deniz Cankaya Alper Deveci Bulent Ozkurt Mehmet Emin Simsek Abdullah Yalcin Tabak Murat Bozkurt Chronic Expanding Hematoma in the Popliteal Fossa after Pseudoaneurysm Surgery because of Nail Puncture Case Reports in Orthopedics |
title | Chronic Expanding Hematoma in the Popliteal Fossa after Pseudoaneurysm Surgery because of Nail Puncture |
title_full | Chronic Expanding Hematoma in the Popliteal Fossa after Pseudoaneurysm Surgery because of Nail Puncture |
title_fullStr | Chronic Expanding Hematoma in the Popliteal Fossa after Pseudoaneurysm Surgery because of Nail Puncture |
title_full_unstemmed | Chronic Expanding Hematoma in the Popliteal Fossa after Pseudoaneurysm Surgery because of Nail Puncture |
title_short | Chronic Expanding Hematoma in the Popliteal Fossa after Pseudoaneurysm Surgery because of Nail Puncture |
title_sort | chronic expanding hematoma in the popliteal fossa after pseudoaneurysm surgery because of nail puncture |
url | http://dx.doi.org/10.1155/2014/961691 |
work_keys_str_mv | AT serdaryilmaz chronicexpandinghematomainthepoplitealfossaafterpseudoaneurysmsurgerybecauseofnailpuncture AT denizcankaya chronicexpandinghematomainthepoplitealfossaafterpseudoaneurysmsurgerybecauseofnailpuncture AT alperdeveci chronicexpandinghematomainthepoplitealfossaafterpseudoaneurysmsurgerybecauseofnailpuncture AT bulentozkurt chronicexpandinghematomainthepoplitealfossaafterpseudoaneurysmsurgerybecauseofnailpuncture AT mehmeteminsimsek chronicexpandinghematomainthepoplitealfossaafterpseudoaneurysmsurgerybecauseofnailpuncture AT abdullahyalcintabak chronicexpandinghematomainthepoplitealfossaafterpseudoaneurysmsurgerybecauseofnailpuncture AT muratbozkurt chronicexpandinghematomainthepoplitealfossaafterpseudoaneurysmsurgerybecauseofnailpuncture |