Curious case of a true aneurysm of the lateral femoral circumflex artery: a rare but important differential in the diagnosis of a painless groin mass
A 60-year-old man, presented with a 3-month history of a painless, non-pulsatile firm mass in the left groin. He was referred to sarcoma clinic for a biopsy following MRI and B mode ultrasound (US). This was abandoned when colour flow US imaging revealed the mass more in keeping with a pseudoaneurys...
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| Veröffentlicht in: | BMJ case reports 2019-03, Vol.12 (3), p.e228312 |
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| creator | Pang, Joe Hwong Elbasty, Ahmed Meyer, Felicity J |
| description | A 60-year-old man, presented with a 3-month history of a painless, non-pulsatile firm mass in the left groin. He was referred to sarcoma clinic for a biopsy following MRI and B mode ultrasound (US). This was abandoned when colour flow US imaging revealed the mass more in keeping with a pseudoaneurysm rather than malignancy. He was then referred to the vascular team for further investigation, where CT angiography revealed a large and thrombosed true aneurysm of his left femoral circumflex artery. This was treated with open surgical repair. Technical challenges included an adherent femoral nerve, which was carefully dissected off the aneurysm before the aneurysm was ligated and resected. An uneventful recovery followed with discharge within 48 hours. Follow-up duplex US scan revealed patent arteries with no further abnormalities. |
| doi_str_mv | 10.1136/bcr-2018-228312 |
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He was referred to sarcoma clinic for a biopsy following MRI and B mode ultrasound (US). This was abandoned when colour flow US imaging revealed the mass more in keeping with a pseudoaneurysm rather than malignancy. He was then referred to the vascular team for further investigation, where CT angiography revealed a large and thrombosed true aneurysm of his left femoral circumflex artery. This was treated with open surgical repair. Technical challenges included an adherent femoral nerve, which was carefully dissected off the aneurysm before the aneurysm was ligated and resected. An uneventful recovery followed with discharge within 48 hours. Follow-up duplex US scan revealed patent arteries with no further abnormalities.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2018-228312</identifier><identifier>PMID: 30850569</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Aftercare ; Aneurysm - diagnostic imaging ; Aneurysm - pathology ; Aneurysm - surgery ; Aneurysms ; Biopsy ; Case reports ; Catheters ; Computed Tomography Angiography - methods ; Diagnosis, Differential ; Femoral Artery - pathology ; Groin - pathology ; Humans ; Ligation - methods ; Male ; Medical diagnosis ; Medical imaging ; Middle Aged ; Rare Disease ; Rare Diseases ; Sarcoma ; Surgery ; Thrombosis - pathology ; Treatment Outcome ; Ultrasonic imaging ; Ultrasonography, Doppler, Duplex - methods ; Veins & arteries</subject><ispartof>BMJ case reports, 2019-03, Vol.12 (3), p.e228312</ispartof><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b410t-898480580914a45777bf2b294b2abf84ba40a92dfff703e98d85af3ccd2efdb63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424270/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424270/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30850569$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pang, Joe Hwong</creatorcontrib><creatorcontrib>Elbasty, Ahmed</creatorcontrib><creatorcontrib>Meyer, Felicity J</creatorcontrib><title>Curious case of a true aneurysm of the lateral femoral circumflex artery: a rare but important differential in the diagnosis of a painless groin mass</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>A 60-year-old man, presented with a 3-month history of a painless, non-pulsatile firm mass in the left groin. He was referred to sarcoma clinic for a biopsy following MRI and B mode ultrasound (US). This was abandoned when colour flow US imaging revealed the mass more in keeping with a pseudoaneurysm rather than malignancy. He was then referred to the vascular team for further investigation, where CT angiography revealed a large and thrombosed true aneurysm of his left femoral circumflex artery. This was treated with open surgical repair. Technical challenges included an adherent femoral nerve, which was carefully dissected off the aneurysm before the aneurysm was ligated and resected. An uneventful recovery followed with discharge within 48 hours. Follow-up duplex US scan revealed patent arteries with no further abnormalities.</description><subject>Aftercare</subject><subject>Aneurysm - diagnostic imaging</subject><subject>Aneurysm - pathology</subject><subject>Aneurysm - surgery</subject><subject>Aneurysms</subject><subject>Biopsy</subject><subject>Case reports</subject><subject>Catheters</subject><subject>Computed Tomography Angiography - methods</subject><subject>Diagnosis, Differential</subject><subject>Femoral Artery - pathology</subject><subject>Groin - pathology</subject><subject>Humans</subject><subject>Ligation - methods</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Rare Disease</subject><subject>Rare Diseases</subject><subject>Sarcoma</subject><subject>Surgery</subject><subject>Thrombosis - pathology</subject><subject>Treatment Outcome</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography, Doppler, Duplex - methods</subject><subject>Veins & arteries</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkU1r3DAQhkVpacIm596KoJdScCPJsi31UChLvyCQSwq9iZEsbbTY1laSQ_eH9P9WrtOQ5lJdRmieeTUzL0IvKHlLad1eaBMrRqioGBM1ZU_QKe2aruok-f70wf0Enae0J-XUlAteP0cnNRENaVp5in5t5-jDnLCBZHFwGHCOs8Uw2Tke07g85RuLB8g2woCdHcMSjY9mHt1gf2KIJXV8VyojRIv1nLEfDyFmmDLuvXM22in7UuSnP1q9h90Ukk_rfwfw02BTwrsYCjFCSmfomYMh2fO7uEHfPn283n6pLq8-f91-uKw0pyRXQgouSCOIpBx403WddkwzyTUD7QTXwAlI1jvnOlJbKXrRgKuN6Zl1vW7rDXq_6h5mPdrelD7LcOoQ_QjxqAJ49W9m8jdqF25VyxlnRXODXt8JxPBjtimr0Sdjh6Hsr2xVMSpkwzmvF_TVI3Qf5jiV8QoleSslJaxQFytlYkgpWnffDCVqcV0V19XiulpdLxUvH85wz__1uABvVkCP-_-q_QbF_bik</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Pang, Joe Hwong</creator><creator>Elbasty, Ahmed</creator><creator>Meyer, Felicity J</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190301</creationdate><title>Curious case of a true aneurysm of the lateral femoral circumflex artery: a rare but important differential in the diagnosis of a painless groin mass</title><author>Pang, Joe Hwong ; Elbasty, Ahmed ; Meyer, Felicity J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b410t-898480580914a45777bf2b294b2abf84ba40a92dfff703e98d85af3ccd2efdb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aftercare</topic><topic>Aneurysm - diagnostic imaging</topic><topic>Aneurysm - pathology</topic><topic>Aneurysm - surgery</topic><topic>Aneurysms</topic><topic>Biopsy</topic><topic>Case reports</topic><topic>Catheters</topic><topic>Computed Tomography Angiography - methods</topic><topic>Diagnosis, Differential</topic><topic>Femoral Artery - pathology</topic><topic>Groin - pathology</topic><topic>Humans</topic><topic>Ligation - methods</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>Rare Disease</topic><topic>Rare Diseases</topic><topic>Sarcoma</topic><topic>Surgery</topic><topic>Thrombosis - pathology</topic><topic>Treatment Outcome</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography, Doppler, Duplex - methods</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pang, Joe Hwong</creatorcontrib><creatorcontrib>Elbasty, Ahmed</creatorcontrib><creatorcontrib>Meyer, Felicity J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pang, Joe Hwong</au><au>Elbasty, Ahmed</au><au>Meyer, Felicity J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Curious case of a true aneurysm of the lateral femoral circumflex artery: a rare but important differential in the diagnosis of a painless groin mass</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>12</volume><issue>3</issue><spage>e228312</spage><pages>e228312-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>A 60-year-old man, presented with a 3-month history of a painless, non-pulsatile firm mass in the left groin. He was referred to sarcoma clinic for a biopsy following MRI and B mode ultrasound (US). This was abandoned when colour flow US imaging revealed the mass more in keeping with a pseudoaneurysm rather than malignancy. He was then referred to the vascular team for further investigation, where CT angiography revealed a large and thrombosed true aneurysm of his left femoral circumflex artery. This was treated with open surgical repair. Technical challenges included an adherent femoral nerve, which was carefully dissected off the aneurysm before the aneurysm was ligated and resected. An uneventful recovery followed with discharge within 48 hours. Follow-up duplex US scan revealed patent arteries with no further abnormalities.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>30850569</pmid><doi>10.1136/bcr-2018-228312</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Aftercare Aneurysm - diagnostic imaging Aneurysm - pathology Aneurysm - surgery Aneurysms Biopsy Case reports Catheters Computed Tomography Angiography - methods Diagnosis, Differential Femoral Artery - pathology Groin - pathology Humans Ligation - methods Male Medical diagnosis Medical imaging Middle Aged Rare Disease Rare Diseases Sarcoma Surgery Thrombosis - pathology Treatment Outcome Ultrasonic imaging Ultrasonography, Doppler, Duplex - methods Veins & arteries |
| title | Curious case of a true aneurysm of the lateral femoral circumflex artery: a rare but important differential in the diagnosis of a painless groin mass |
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