EURORAD ESR

Case 11396

A Rare Case of Blunt Trauma Induced Brachial Artery Pseudoaneurysm

Author(s)
Rishi, Sandeep M.B, H.B Suresh, Ram Shenoy Basti, Gouri Kaveriappa

Father Muller Medical College, Father Muller Charitable Institutions, Department of Radio-Diagnosis; Father Muller Road 575002 Mangalore, India; Email:dr_rishimathew@yahoo.com
 
Patient
male, 25 year(s)
 
 
  • Figure 1
    Upper limb ultrasound with Doppler

    Lt. upper limb colour doppler: shows a patent saccular aneurysm originating from left Brachial artery measuring 10x6mm. A hypoechoic soft tissue thickening (haematoma) is seen surrounding the pseudoaneurysm measuring...

     
    Area of Interest: Vascular; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 2
    Upper limb ultrasound with Doppler

    Ultrasound of Lt. upper limb with colour doppler showing saccular aneurysm of Lt. Brachial artery. Normal flow velocity noted in the brachial artery before the pseudoaneurysm.

     
    Area of Interest: Vascular; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 3
    Upper limb ultrasound with Doppler

    Ultrasound of Lt. upper limb with doppler showing saccular aneurysm of Lt. Brachial artery, with normal flow velocity seen distal to the pseudoaneurysm.

     
    Area of Interest: Vascular; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 4
    Upper limb ultrasound with Doppler

    Ultrasound Doppler of Lt. Upper Limb: shows normal flow velocity in distal ulnar artery.

     
    Area of Interest: Vascular; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 5
    Upper limb ultrasound with Doppler

    Ultrasound Doppler of Lt. Upper Limb: shows normal flow velocity in distal radial artery.

     
    Area of Interest: Vascular; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 6
    Upper limb CT Angio

    Upper Limb CT Angio (Axial Sections): shows the patent pseudoaneurysm (arrow head) with soft tissue thickening surrounding it. Higher up normal flow is seen in radial (thin blue arrow) and ulnar (thick blue arrow)...

     
    Area of Interest: Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 7
    Upper limb CT Angio

    Upper Limb CT Angio (Coronal Views): shows the pseudoaneurysm arising from the brachial artery (blue arrow) with soft tissue thickening surrounding it (blue arrow head).

     
    Area of Interest: Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
Lt. upper limb colour doppler: shows a patent saccular aneurysm originating from left Brachial artery measuring 10x6mm. A hypoechoic soft tissue thickening (haematoma) is seen surrounding the pseudoaneurysm measuring 8mm in thickness.
 
Ultrasound of Lt. upper limb with colour doppler showing saccular aneurysm of Lt. Brachial artery. Normal flow velocity noted in the brachial artery before the pseudoaneurysm.
 
Ultrasound of Lt. upper limb with doppler showing saccular aneurysm of Lt. Brachial artery, with normal flow velocity seen distal to the pseudoaneurysm.
 
Ultrasound Doppler of Lt. Upper Limb: shows normal flow velocity in distal ulnar artery.
 
Ultrasound Doppler of Lt. Upper Limb: shows normal flow velocity in distal radial artery.
 
Upper Limb CT Angio (Axial Sections): shows the patent pseudoaneurysm (arrow head) with soft tissue thickening surrounding it. Higher up normal flow is seen in radial (thin blue arrow) and ulnar (thick blue arrow) arteries.
 
Upper Limb CT Angio (Coronal Views): shows the pseudoaneurysm arising from the brachial artery (blue arrow) with soft tissue thickening surrounding it (blue arrow head).
 
 
 
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