족관절 관절경 수술 후 발생한 전경골 동맥의 가성 동맥류

Pseudoaneurysm of Anterior Tibial Artery after Ankle Arthroscopy

  • 전태환 (성균관대학교 의과대학 삼성서울병원 정형외과) ;
  • 박용석 (성균관대학교 의과대학 삼성서울병원 정형외과) ;
  • 김양태 (성균관대학교 의과대학 삼성서울병원 정형외과) ;
  • 성기선 (성균관대학교 의과대학 삼성서울병원 정형외과)
  • Chun, Tae-Hwan (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Park, Yong-Serk (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Yang-Tae (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Sung, Ki-Sun (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2012.10.15
  • 심사 : 2012.11.13
  • 발행 : 2012.12.15

초록

Pseudoaneurysm is extremely rare complication after ankle arthroscopy with standard anteromedial and anterolateral portals. We report a case of a pseudoaneurysm of the anterior tibial artery detected at 3 months after ankle arthroscopy in a 16-year-old male. He had sustained painful swelling of his right ankle after the arthroscopic surgery, and referred to our hospital with an MRI checked postoperatively. We failed to make the diagnosis of pseudoaneurysm with the postoperative MRI, thus the patient underwent another arthroscopy which revealed massive hemarthrosis within the joint. The diagnosis was confirmed with an angiography, and the vascular lesion was ligated.

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