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- 30-07-2021 (2)
- 14-05-2021 (1)
Keywords
hypothenar
ulnar artery
puncture
treatment
Categories
How to Cite
Abstract
Introduction. Closed traumatic injuries and vascular accesses are the most common causation of pseudoaneurysms in peripheral arteries. Case report. A 71-year-old male who reports two weeks of evolution with increased volume and pain in the hypothenar region of the right hand, after hollow needle puncture. History of drug addiction. Physical examination shows edema, erythema, increased volume, pulsatile, ecchymosis, and pain at the mobilization of the 4th and 5th finger, preserved capillary filling, without peripheral nerve involvement. Angiotomography: ulnar artery with marked dilation in its distal third suggestive of a pseudoaneurysm. Transoperative broken pseudoaneurysm is confirmed, performing a resection of Pseudoaneurysm with contained clot. Discussion. Improvement of pain, decrease in volume, correct distal capillary filling, no paraesthesia, and functional. Pseudoaneurysms of the distal ulnar artery by puncture are uncommon. Surgical resection in peripheral areas is a feasible alternative. Keywords: Pseudoaneurysm, hypothenar, ulnar artery, puncture, treatment.
References
Mejía Pineda A, Aguilera M, Meléndez H, Lemus J, Peñalonzo M. Sagliker syndrome in patients with secondary hyperparathyroidism and chronic renal failure: Case report. International Journal of Surgery Case Reports. 2015;8:127-130. https://doi.org/10.1016/j.ijscr.2015.01.044
chakalova r. Sagliker syndrome: first four cases in Bulgaria. giornale itialino di nefrologia. 2016;33(3). PMID: 27545627,
Chen X, Shen B, Zou J, Ding X, Liu Z, Lv W et al. Clinical status of Sagliker syndrome: a case report and literature review. Renal Failure. 2014;36(5):800-803. DOI: 10.3109/0886022X.2014.890110
Padilla-Ochoa G, Chávez-Iñiguez J, Magaña-Urzúa J, Plata-Florenzano J. Síndrome de Sagliker: presentación de dos casos y revisión de la literatura. Nefrología Latinoamericana. 2018;15(1). DOI: 10.24875/NEFRO.18000021
León Tovar A. Síndrome de Sagliker: Reporte de un caso. Anales de Radiología México. 2016;15(3). https://www.medigraphic.com/pdfs/anaradmex/arm-2016/arm163h.pdf
https://giornaleitalianodinefrologia.it/wp-content/uploads/sites/3/pdf/GIN_A33V4_00244_2.pdf
Qaisi M, Loeb M, Montague L, Caloss R. Mandibular Brown Tumor of Secondary Hyperparathyroidism Requiring Extensive Resection: A Forgotten Entity in the Developed World?. Case Reports in Medicine. 2015;2015:1-10. doi: 10.1155/2015/567543
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