Pseudoaneurisma Poplíteo Postraumático: reporte de caso clínico
DOI:
https://doi.org/10.37135/ee.04.24.08Keywords:
trauma, pseudoaneurisma, arteria poplíteaAbstract
Paciente masculino de 19 años, sin antecedentes de importancia, víctima de un ataque con arma de fuego, con lesión penetrante a nivel toracoabdominal y en la región poplítea izquierda. Se diagnosticó trombosis venosa profunda de vena poplítea manejada con anticoagulación; semanas posteriores este último resulta con sensación de masa en crecimiento a nivel de fosa poplítea, misma que se acompaña de palpitación, parestesias. Es valorado en consulta externa, donde se evidenció una masa en región poplítea de pierna de aproximadamente 4 cm, con diagnóstico ecográfico de pseudoaneurisma poplíteo, se indicó tratamiento quirúrgico que consistió en resección quirúrgica del pseudoaneurisma más bypass autólogo femoropoplíteo con vena safena sin complicaciones quirúrgicas. Los pseudoaneurismas de la arteria poplítea son lesiones postraumáticas infrecuentes que deben ser resueltas oportunamente, el tipo de tratamiento depende del tamaño, ubicación y sintomatología; así como también, la experticia de cada centro y experiencia con el manejo de cirugía abierta.
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