Peroneal artery pseudoaneurysm with arteriovenous fistula after calcaneal fracture surgery: a case report Article Swipe
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· 2025
· Open Access
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· DOI: https://doi.org/10.3389/fsurg.2025.1527992
Background Peroneal artery injury following internal fixation of a calcaneal fracture is rare. The occurrence of a delayed pseudoaneurysm with an arteriovenous fistula after a peroneal artery injury is even rarer and has not been reported previously. Case summary Herein, we report the case of a 65-year-old female patient with a calcaneal fracture (Sanders Type ⅢAB) who underwent an open reduction and internal fixation surgery through the tarsal sinus approach. Two months postoperatively, she experienced left foot pain. Physical examination revealed pulsation at the surgical site and a positive Branham sign, which was suggestive of a delayed pseudoaneurysm. Emergency digital subtraction angiography (DSA) examination was performed, and this revealed a pseudoaneurysm and arteriovenous fistula at the distal end of the peroneal artery. Therefore, the patient underwent transcatheter coil embolization of the peroneal artery and had good postoperative outcomes. Conclusion Arterial injury should be suspected if massive hemorrhage occurs shortly after internal fixation for calcaneal fractures, and appropriate hemostatic measures should be promptly instituted. If unexplained pain and swelling develop along with a palpable pulse at the surgical site, a pseudoaneurysm should be suspected, and appropriate examinations should be promptly performed. Accurate diagnosis and prompt treatment are also crucial.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fsurg.2025.1527992
- OA Status
- gold
- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4407668632Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fsurg.2025.1527992Digital Object Identifier
- Title
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Peroneal artery pseudoaneurysm with arteriovenous fistula after calcaneal fracture surgery: a case reportWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-02-17Full publication date if available
- Authors
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Yulong Li, Sheng Chen, Yu Ai, Wei Zhang, Jichao Liu, Yafan YangList of authors in order
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https://doi.org/10.3389/fsurg.2025.1527992Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.3389/fsurg.2025.1527992Direct OA link when available
- Concepts
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Medicine, Pseudoaneurysm, Peroneal Artery, Surgery, Arteriovenous fistula, Internal fixation, Digital subtraction angiography, Radiology, Anterior tibial artery, Angiography, Physical examination, Artery, AneurysmTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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18Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2149613352, https://openalex.org/W6630000331, https://openalex.org/W4220787938, https://openalex.org/W1501597171, https://openalex.org/W2102465781, https://openalex.org/W4313529910, https://openalex.org/W1563596228, https://openalex.org/W6633500112, https://openalex.org/W2148551065, https://openalex.org/W1929556033, https://openalex.org/W2111889514, https://openalex.org/W2026399698, https://openalex.org/W6640126702, https://openalex.org/W2398388265, https://openalex.org/W2008873473, https://openalex.org/W2025367407, https://openalex.org/W1926360403, https://openalex.org/W2511243242 |
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