Rare Case of Isolated True Aneurysm in the Superficial Femoral Artery with Deep Vein Thrombosis: A Case Report

This is a case report of a 83-year-old male patient who has undergone multiple dialysis of late via femoral vein cannulation of both lower limbs, who presented with bilateral limb swelling, pain and immobility of about of three weeks. Doppler ultrasound scan revealed a huge left superficial femoral aneurysm with Ying-Yang colour flow sign with ipsilateral deep vein thrombosis. Note associated muscle collections bilaterally worse on the left. We present a case of left superficial femoral artery aneurysm with associated deep vein thrombosis as well as bilateral lower limb intramuscular hematoma. Doppler ultrasound is extremely valuable in the immediate diagnosis of cause of swollen and painful limbs to rule out deep vein thrombosis and/or aneurysms. Most facilities have doppler component in their ultrasound machine and also Radiologists who are proficient in the doppler studies.