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...

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Main Authors: Serdar Yilmaz, Deniz Cankaya, Alper Deveci, Bulent Ozkurt, Mehmet Emin Simsek, Abdullah Yalcin Tabak, Murat Bozkurt
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2014/961691
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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.
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institution Kabale University
issn 2090-6749
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language English
publishDate 2014-01-01
publisher Wiley
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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
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