Surgical Management of an Intercostal Artery False Aneurysm Due to a Stab Wound
Journal Title: Journal of Surgery Research and Practice - Year 2021, Vol 2, Issue 1
Abstract
Pseudo-aneurysm are due to arterial wall disruption leading to the formation of a perfused sac that communicates with the arterial lumen. This entity remains at highly significant risk of rupture. The majority of cases are presenting as haemothorax. Intercostal artery pseudo-aneurysms are extremely rare, most of them were associated with surgical interventions or blunt thoracic trauma, only one case was reported after a knife stabbing wound. We describe the case of a young male patient who was stabbed with a knife in his posterior left chest side and was first operated to evacuate a contained hematoma only to re-consult after 20 days for a pulsatile mass which proved to be an intercostal artery pseudo-aneurysm. The patient was successfully surgically managed and was discharged 4 days after the surgery.
Authors and Affiliations
Hadhri Saif El Hak, Ben Jmaà Hèla*, Gueldich Majdi, Ben Saida Fatma, Ziadi Arwa, Rebei Mohamed, Dammak Aiman, Frikha Ime
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