Post-traumatic Popliteal Pseudoaneurysm: Clinical Case Report

A 19-year-old male patient with no significant medical history was the victim of a firearm attack, with penetrating injury to the thoracoabdominal and left popliteal region. A diagnosis of deep vein thrombosis of the popliteal vein was made, which was managed with anticoagulation. Weeks later, this resulted in a sensation of a growing mass in the popliteal fossa, accompanied by palpitations and paresthesias. He was evaluated in an outpatient clinic, where a mass was found in the popliteal region of the leg measuring approximately 4 cm, with an ultrasound diagnosis of popliteal pseudoaneurysm. Surgical treatment was indicated, which consisted of surgical resection of the pseudoaneurysm plus autologous femoropopliteal bypass with a saphenous vein, without surgical complications. Popliteal artery pseudoaneurysms are rare post-traumatic injuries that must be resolved promptly. The type of treatment depends on the size, location, and symptoms, as well as the expertise and experience of each center in open surgery.