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Delayed diagnosis of pseudoaneurysm formation in a patient with diaphyseal aclasis

A 15 year old boy, with known diaphyseal aclasis, presented with a swollen left leg. The diagnosis of popliteal pseudoaneurysm, a known and well understood vascular complication, was delayed due to presentation suggestive of a chondrosarcoma. In this age group, sarcomatous change is more common and...

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Detalles Bibliográficos
Autores principales: Grainger, L, Stammers, J, Ranawat, V, Loh, A, Skinner, J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JSCR Publishing Ltd 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649312/
https://www.ncbi.nlm.nih.gov/pubmed/24950553
http://dx.doi.org/10.1093/jscr/2011.10.8
Descripción
Sumario:A 15 year old boy, with known diaphyseal aclasis, presented with a swollen left leg. The diagnosis of popliteal pseudoaneurysm, a known and well understood vascular complication, was delayed due to presentation suggestive of a chondrosarcoma. In this age group, sarcomatous change is more common and a potentially sinister complication of diaphyseal aclasis. Following a sarcoma MDT referral, the correct diagnosis was confirmed by ultrasound and CT angiogram. This case identifies one of the largest, non-ruptured popliteal pseudoaneurysms reported and illustrates an unusual complication of a rare orthopaedic genetic condition, which is potentially limb threatening.