A rare case of dorsalis pedis artery pseudoaneurysm: Surgical management and review of the literature

• DPA aneurysms are rare with only a few cases described in the literature, often presenting significant clinical challenges. • Surgical treatment remains the gold standard , with resection and ligation of feeding vessels being the most common approach. • Trauma and iatrogenic factors are the leading causes of DPA pseudoaneurysms , highlighting the importance of thorough patient evaluation. • Timely surgical intervention leads to favorable outcomes , with no major complications reported in our case or literature review. Aneurysms of the dorsalis pedis artery (DPA) are a rare condition but their management is essential to prevent significant complications, such as rupture or foot ischemia 2,3,4 . Despite the evolution of therapeutic techniques in recent decades, the current literature shows a predominant use of surgical treatments, with limited recourse to endovascular options. This study presents a clinical case of DPA pseudoaneurysm and offers a review of current therapeutic approaches. We performed a systematic review of the literature using PubMed and Scopus, analyzing articles published from 1955 to the present. We focused on studies that addressed etiology, clinical presentation, diagnostic methods, and treatment outcomes. In our review, trauma (25%) and iatrogenic causes (18.75%) were the most frequent etiologies of DPA aneurysms. The typical clinical presentation was a pulsatile mass, and Doppler ultrasound was the most common diagnostic tool. Surgery, especially resection and ligation of feeding vessels (50%), was the most frequently used treatment. Endovascular treatments, including embolization, were rare. No significant complications were reported 44 . Surgical treatment remains the primary approach for DPA aneurysms, resulting in good outcomes when performed promptly. Despite the advancements in endovascular techniques, their application to DPA aneurysms remains limited, with only one case reported in the literature. 44 Despite the rarity of DPA aneurysms, surgical treatment remains effective and safe when promptly applied.