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Case of the Month

August 2016

Patient Data: Female patient 63 years old

Clinical Info: Persistent swelling after a trauma of the ankle


64911-Afbeelding1.jpg
Transverse image of the lesion on the dorsal side of the ankle


64912-Afbeelding2.jpg
Longitudinal image of the lesion on the dorsal side of the ankle


64913-Afbeelding3.jpg
Transverse image of the lesion with compression


64914-Afbeelding4.jpg
Longitudinal image with color shows the artery with a small neck entering the lesion


64915-Afbeelding5.jpg
The neck fills part of the lesion but a large part doesn't show flow


64916-Afbeelding6.jpg
Transverse color Doppler image


64917-Afbeelding7.jpg
Transverse image with e-flow. Part of the mass doesn't show any flow. We thought it was a false aneurysm partially filled with thrombus. An MRI was made to confirm.


64918-Mijn_Film_1.swf MRI


64919-Mijn_Film_2.swf MRI 2


64920-Mijn_Film_3.swf MRI 3


64921-Mijn_Film_4.swf MRI 4

The lesion proved to de a false aneurysm in an unusual place partially filled with thrombus. It was successfully treated with a thrombin injection

For more examples of false and other aneurysms see

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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