Traumatic pseudo-aneurysm in a 5-year-old child, case report and literature review.

introductionPseudo-aneurysm can be formed by iatrogenic factors, as well as non-iatrogenic factors. In the pediatric population, there have only been a few recorded incidences. The work has been reported in line with the SCARE criteria. CASE PRESENTATION: In our case, a five-year-old male who was medically free presented with a complaint of left foot swelling after a one-month history of glass trauma and two episodes of bleeding. Upon presentation to our facility, an examination of the left foot's dorsum revealed a 2.0 ∗ 2.0 cm pulsatile non-tender swelling with no symptoms of infection, and a healed scar. A lower limb arterial doppler ultrasonography was performed, and it revealed a 1 cm partially thrombosed pseudoaneurysm protruding from the Dorsalis Pedis Artery (DPA). CLINICAL DISCUSSION: Lower extremity peripheral aneurysms, whether true aneurysm or a pseudo-aneurysm, are uncommon in adults and usually occur in the popliteal artery (70 %), femoral artery (20 %), and only (10 %) of aneurysms present in other locations (Dahman et al., 2021). This Condition is even extremely unusual in pediatric population, where only a few cases have been reported. Doppler ultrasonography was used as a radiological examination and a diagnostic approach in the case of our patient. Due to the rarity of this illness, there are no clear guidelines for approaching patients with similar symptoms.

conclusionA dorsalis pedis pseudoaneurysm should be considered in any traumatic injury that has resulted in a hematoma in the dorsum of the foot that is not healing. In our case, a primary aneurysm excision with DPA ligation appears to be a safe procedure with no effect on foot perfusion or function.