Dorsalis Pedis Artery Pseudoaneurysm: An Uncommon Cause of Soft Tissue Mass of the Dorsal Foot in Children

Abstract

Pseudoaneurysm of the dorsalis pedis artery is an extremely rare entity with only 3 pediatric cases previously presented in the English literature. We describe a new case and discuss the clinical presentation and surgical management. A 6-year-old boy was referred to our clinic because of a pulsatile tumor of the right dorsal foot increasing in size. A focused history found a low grade trauma to the dorsal foot one year previously. Magnetic resonance imaging revealed a pseudoaneurysm of the DPA. Resection of the pseudoaneurysm was completed without complications. Pseudoaneurysm of the DPA is a very uncommon cause of soft tissue mass of the dorsal foot. It can appear after low grade trauma. Treatment is surgical.

trauma - pseudoaneurysm - dorsalis pedis artery - child

References

• 1 Anderson S E, De Monaco D, Buechler U. et al . Imaging features of pseudoaneurysms of the hand in children and adults.  AJR Am J Roentgenol. 2003;  180 659-664
• 2 Bogokowsky H, Slutzki S, Negri M. et al . Pseudoaneurysm of the dorsalis pedis artery.  Injury. 1985;  16 424-425
• 3 Chairman E L, Uricchio J N. Traumatic aneurysm of the dorsalis pedis artery. A review of the literature and case report.  J Am Podiatry Assoc. 1982;  72 41-43
• 4 Fitzpatrick W H. Idiopathic aneurysm of the dorsalis pedis artery.  J Foot Surg. 1980;  19 185-186
• 5 Herrmann M. Pedal aneurysms.  Eur J Vasc Endovasc Surg. 1996;  11 250
• 6 Hiromatsu S, Hosokawa Y, Ewaga N. et al . Spontaneous rupture of the dorsalis pedis artery: report of a case.  Ann Thorac Cardiovasc Surg. 2007;  13 290-292
• 7 Hughes C W, Jahnke Jr E J. The surgery of traumatic arteriovenous fistulas and aneurysms: a five-year follow up study of 215 lesions.  Ann Surg. 1958;  148 790-797
• 8 Kato T, Takagi H, Sekino S. et al . Dorsalis pedis artery true aneurysm due to atherosclerosis: case report and literature review.  J Vasc Surg. 2004;  40 1044-1048
• 9 Khan M A, Groff D B. Traumatic pseudoaneurysm of the dorsalis pedis artery in a child.  J Trauma. 1978;  18 145
• 10 Lieberman J R, Goldstock L E, Jacobs R L. Pseudoaneurysm of the dorsalis pedis artery after Lisfranc amputation.  Foot Ankle. 1991;  12 123-124
• 11 Lloyd T V. Pseudoaneurysm of the dorsalis pedis artery secondary to nonpenetrating trauma.  Am J Sports Med. 1979;  7 133-135
• 12 Maydew M S. Dorsalis pedis aneurysm: ultrasound diagnosis.  Emerg Radiol. 2007;  13 277-280
• 13 McCain L, Galinski A W. Progressive traumatic aneurysm of the dorsalis pedis artery. A case report.  J Am Podiatry Assoc. 1968;  58 306-307
• 14 McKee T I, Fisher J B. Dorsalis pedis artery aneurysm: case report and literature review.  J Vasc Surg. 2000;  31 589-591
• 15 Millett P J, Potter H, O'Malley M J. Idiopathic pseudoaneurysm of the dorsalis pedis artery mimicking pigmented villonodular synovitis.  Foot Ankle Int. 1999;  20 42-43
• 16 Morettini G, Ventura M, Marino G A. et al . Isolated aneurysm of the dorsalis pedis artery.  Eur J Vasc Endovasc Surg. 1995;  9 485-486
• 17 Nishi H, Miyamoto S, Minamimura H. et al . Pseudoaneurysm of the dorsalis pedis artery causing neurological deficit.  Ann Vasc Surg. 2004;  18 487-489
• 18 Ozdemir H, Mahmutyazicioglu K, Ozkokeli M. et al . Pseudoaneurysm of the dorsalis pedis artery: color Doppler sonographic and angiographic findings.  J Clin Ultrasound. 2003;  31 283-287
• 19 Saad N E, Saad W E, Davies M G. et al . Pseudoaneurysms and the role of minimally invasive techniques in their management.  Radiographics. 2005;  25 (Suppl. 1) S173-S189
• 20 Slysko R, Sefrfanek V, Mondek P. et al . [Arthroscopy of the ankle joint – a rare cause of a pseudoaneurysm of the dorsalis pedis artery – a case review].  Rozhl Chir. 2006;  85 115-117
• 21 Taylor D T, Mansour M A, Bergin J T. et al . Aneurysm of the dorsalis pedis artery: a case report.  Vasc Endovascular Surg. 2002;  36 241-245
• 22 Tempest H V, Wilson Y G. Acute forefoot ischaemia: an unreported complication of dorsalis pedis artery aneurysm.  Eur J Vasc Endovasc Surg. 2001;  22 472-473
• 23 Vasudevan A, Patel D, Brodrick P. Pseudoaneurysm of the dorsalis pedis artery.  Anaesthesia. 1997;  52 926-927
• 24 Webb-Jones A. Aneurysm after foot stabilisation.  J Bone Joint Surg [Br]. 1955;  37 440-442
• 25 Wu K K. True aneurysm of the dorsalis pedis artery mimicking a soft tissue tumor.  J Foot Surg. 1991;  30 304-307
• 26 Yamaguchi S, Mii S, Yonemitsu Y. et al . A traumatic pseudoaneurysm of the dorsalis pedis artery: report of a case.  Surg Today. 2002;  32 756-757