PMC8572625_01
Supracondylar fracture of humerus with posterior displacement on first admission. Lateral view (a) and anterior posterior view (b).
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fig1
The initial X-ray demonstrated a type III fracture based on Gartland classification (Figure 1).
Lateral view of supracondylar fracture of humerus fixed with Kirschner wire (post-op).
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fig2
The patient was discharged the day after surgery (Figures 2 and 3).
Anterior posterior view of supracondylar fracture of humerus fixed with Kirschner wire (post-op).
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fig3
The patient was discharged the day after surgery (Figures 2 and 3).
(a) Coronal cut of CT angiography demonstrating maximum diameter of sac of pseudoaneurysm originating from left profunda brachii artery. (b) Extravasation of contrast in pseudoaneurysm of profunda brachii artery in CT angiography.
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fig4
Therefore, CT angiography was done, which revealed a huge pseudoaneurysm originating from the left profunda brachii artery with extravasation of contrast with the largest diameter of 54.96 mm (Figures 4 and 5).
3D reconstruction of CT angiography demonstrating a pseudoaneurysm of profunda brachii artery with extravasation of contrast (white arrow).
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fig5
Therefore, CT angiography was done, which revealed a huge pseudoaneurysm originating from the left profunda brachii artery with extravasation of contrast with the largest diameter of 54.96 mm (Figures 4 and 5).
Open wound demonstrating the pseudoaneurysm sac through posterolateral approach. Neck of the pseudoaneurysm is visible in the depth of the wound (pointed by the arrow).
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fig6
Based on the necrotic overlying skin, the patient was emergently transferred to the operation room in which after heparinization and proximal control by a tourniquet, and the sac of pseudoaneurysm was opened and approached through a left lateral arm incision (Figure 6).