PMC9744600_01
(a) Aneurysm and surgical incisions on right ankle (transverse scar is due to aneurysmoplasty operation performed nine years ago). (b) Image of the right ankle at the 3rd year postoperatively.
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fig1
Physical examination revealed a pulsatile mass on the anterior aspect of the right ankle, transverse and longitudinal surgical incision scars on the aneurysm sac and medial malleolus, pigmentation secondary to cannulation of the great saphenous vein, an increase in calf circumference of 1 cm, fibrotic thickening, and thrombosed aneurysmal dilatation on the great saphenous vein (Figure 1).
Computed tomography of the patient's right ankle aneurysm shows calcification in the saphenous vein and an intact aneurysm.
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fig2
An aneurysmatic segment with a diameter of 45 mm was detected in computed tomography angiography (CTA) examination of the right ankle (Figure 2).