CC BY 4.0 · Libyan International Medical University Journal 2024; 09(01): 005-008
DOI: 10.1055/s-0044-1779306
Case Report

Superficial Femoral Artery Pseudoaneurysm Post-Subtrochanteric Femur Fracture

1   Department of General Surgery and Vascular Surgery, Benghazi Medical Center, Benghazi, Libya
2   Faculty of Medicine, Libyan International Medical University, Benghazi, Libya
3   Department of General Surgery, Faculty of Medicine, Libyan International Medical University, Benghazi, Libya
› Author Affiliations
Funding None.


Superficial femoral artery injury due to bone fragment of femoral fracture is often overlooked as it occurs only in rare cases of femoral fractures and the onset of symptoms usually happen weeks or even months later. The deep femoral artery, in fact, is more susceptible to injuries associated with femoral fractures. Moreover, a preexisting calcification lesion of the arterial wall might enhance the chance of such arterial injury, a condition that we noticed in the case we are reporting. We will illustrate a rare case of calcified superficial femoral artery injury complicating subtrochanteric femur fracture.

Publication History

Article published online:
02 February 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

  • References

  • 1 Fruhwirth J, Koch G, Mischinger HJ, Werkgartner G, Tesch NP. Vascular complications in minimally invasive surgery. Surg Laparosc Endosc 1997; 7 (03) 251-254
  • 2 Barquet A, Gelink A, Giannoudis PV. Proximal femoral fractures and vascular injuries in adults: incidence, aetiology and outcomes. Injury 2015; 46 (12) 2297-2313
  • 3 Labronici PJ, Santos FC, Diamantino YL, Loureiro E, Ezequiel MC, Alves SD. Fratura proximal do fêmur e lesão vascular em adultos-Relato de caso. Rev Bras Ortop 2019; 54: 343-346
  • 4 Abraham E, Pankovich AM, Jansey F. False aneurysm of the profunda femoris artery resulting from intertrochanteric fracture. A case report. J Bone Joint Surg Am 1975; 57 (06) 871
  • 5 Whitehill R, Wang GJ, Edwards JR, Stamp WG. Late injuries to femoral vessels after fracture of the hip. Case report. J Bone Joint Surg Am 1978; 60 (04) 541-542
  • 6 Newman ED, Ayoub WT, Starkey RH, Diehl JM, Wood GC. Osteoporosis disease management in a rural health care population: hip fracture reduction and reduced costs in postmenopausal women after 5 years. Osteoporos Int 2003; 14 (02) 146-151
  • 7 Benetos A, Waeber B, Izzo J. et al. Influence of age, risk factors, and cardiovascular and renal disease on arterial stiffness: clinical applications. Am J Hypertens 2002; 15 (12) 1101-1108
  • 8 Wixon CL, Philpott JM, Bogey Jr WM, Powell CS. Duplex-directed thrombin injection as a method to treat femoral artery pseudoaneurysms. J Am Coll Surg 1998; 187 (04) 464-466