Peroneal Arteriovenous Fistula and Pseudoaneurysm: An Unusual Presentation
Peroneal artery arteriovenous fistulas and pseudoaneurysms are extremely rare with the majority of reported cases due to penetrating, orthopedic, or iatrogenic trauma. Failure to diagnose this unusual vascular pathology may lead to massive hemorrhage or limb threatening ischemia. We report an intere...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/506067 |
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| author | Kevin C. Ching Kevin M. McCluskey Abhay Srinivasan |
| author_facet | Kevin C. Ching Kevin M. McCluskey Abhay Srinivasan |
| author_sort | Kevin C. Ching |
| collection | DOAJ |
| description | Peroneal artery arteriovenous fistulas and pseudoaneurysms are extremely rare with the majority of reported cases due to penetrating, orthopedic, or iatrogenic trauma. Failure to diagnose this unusual vascular pathology may lead to massive hemorrhage or limb threatening ischemia. We report an interesting case of a 14-year-old male who presented with acute musculoskeletal pain of his lower extremity. Initial radiographs were negative. Further imaging workup revealed a peroneal arteriovenous fistula with a large pseudoaneurysm. After initial endovascular intervention was unsuccessful, the vessels were surgically ligated in the operating room. Pathology revealed papillary endothelial hyperplasia consistent with an aneurysm and later genetic testing was consistent with Ehlers-Danlos syndrome Type IV. This case illustrates an unusual cause of acute atraumatic musculoskeletal pain and uncommon presentation of Ehlers-Danlos syndrome. |
| format | Article |
| id | doaj-art-5881a24a9db0406c87a56cfcc77257bb |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-5881a24a9db0406c87a56cfcc77257bb2025-02-03T06:11:02ZengWileyCase Reports in Vascular Medicine2090-69862090-69942014-01-01201410.1155/2014/506067506067Peroneal Arteriovenous Fistula and Pseudoaneurysm: An Unusual PresentationKevin C. Ching0Kevin M. McCluskey1Abhay Srinivasan2Department of Radiology, University of Pittsburgh, 3950 Presby South Tower, 200 Lothrop Street, Pittsburgh, PA 15213, USADepartment of Radiology, University of Pittsburgh, 3950 Presby South Tower, 200 Lothrop Street, Pittsburgh, PA 15213, USADepartment of Radiology, Children’s Hospital of Pittsburgh, Pittsburgh, PA 15213, USAPeroneal artery arteriovenous fistulas and pseudoaneurysms are extremely rare with the majority of reported cases due to penetrating, orthopedic, or iatrogenic trauma. Failure to diagnose this unusual vascular pathology may lead to massive hemorrhage or limb threatening ischemia. We report an interesting case of a 14-year-old male who presented with acute musculoskeletal pain of his lower extremity. Initial radiographs were negative. Further imaging workup revealed a peroneal arteriovenous fistula with a large pseudoaneurysm. After initial endovascular intervention was unsuccessful, the vessels were surgically ligated in the operating room. Pathology revealed papillary endothelial hyperplasia consistent with an aneurysm and later genetic testing was consistent with Ehlers-Danlos syndrome Type IV. This case illustrates an unusual cause of acute atraumatic musculoskeletal pain and uncommon presentation of Ehlers-Danlos syndrome.http://dx.doi.org/10.1155/2014/506067 |
| spellingShingle | Kevin C. Ching Kevin M. McCluskey Abhay Srinivasan Peroneal Arteriovenous Fistula and Pseudoaneurysm: An Unusual Presentation Case Reports in Vascular Medicine |
| title | Peroneal Arteriovenous Fistula and Pseudoaneurysm: An Unusual Presentation |
| title_full | Peroneal Arteriovenous Fistula and Pseudoaneurysm: An Unusual Presentation |
| title_fullStr | Peroneal Arteriovenous Fistula and Pseudoaneurysm: An Unusual Presentation |
| title_full_unstemmed | Peroneal Arteriovenous Fistula and Pseudoaneurysm: An Unusual Presentation |
| title_short | Peroneal Arteriovenous Fistula and Pseudoaneurysm: An Unusual Presentation |
| title_sort | peroneal arteriovenous fistula and pseudoaneurysm an unusual presentation |
| url | http://dx.doi.org/10.1155/2014/506067 |
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