Expanding Ulnar Artery Aneurysm Presenting with Signs of Threatened Rupture

Abstract

The case of a 25-year-old man admitted with an ulnar artery aneurysm of the wrist is presented. The size of the aneurysm (1.5 χ 2.7 cm) and progressive pain gave the impression of a threatened rupture. Radiologic examinations confirmed the existence of a non-thrombosed ulnar artery aneurysm with occlusion of the 4th and 5th digital arteries. During an urgent surgical exploration a pseudo-aneurysm was found and resected and the artery was repaired. Thrombolysis of the digital arteries was performed with a good result. The combination of a large-sized pseudo-aneurysm, lack of a history of penetrating trauma and presentation of threatened rupture are unique and not reported previously in the literature.

Key Words:

• Ulnar artery
• aneurysm
• rupture

Additional information

Notes on contributors

E. Pikoulis

E. Pikoulis Aggelidou 5 str Paleo Faliro, 17561 Athens, Greece Fax: [phone] E-mail: [email protected]