Pseudoaneurisma de la arteria geniculada inferior medial tras reparación del ligamento del cruzado anterior.

  1. Canillas del Rey, Fernando
  2. Reina Gutiérrez, L.
  3. Salgado Rodrigo, A.
  4. Albéniz Aguirian, L. F.
  5. Menéndez Martínez, P.
Revista:
Revista española de cirugía osteoarticular

ISSN: 0304-5056

Any de publicació: 2014

Volum: 49

Número: 260

Pàgines: 200-203

Tipus: Article

Altres publicacions en: Revista española de cirugía osteoarticular

Resum

We report the case of a 24 year old male with a chronic rupture of the anterior cruciate ligament in his left knee. We performed an anterior cruciate ligament reconstruction with four fascicles using the hamstrings tendon. In the immediate postoperative period, he presented a hematoma in the area of extraction plasty. Initially it was attributed to muscle bleeding and physical therapy (rest, ice and bandage) was prescribed. It reappeared few days later so it was decided to discontinue treatment with LMWH. Despite initial improvement, the haematoma reappeared so an angioCT Scan was performed showing medial inferior genicular artery pseudoaneurysm. The patient underwent a surgery for surgical wound exploration and ligation of the affected vessel. The patient improved and started the rehabilitation program as usual. Given the rarity of this disease and its pathogenesis literature is reviewed.