PMC4992002_01
Representative image of the left hand showing the mass at the anatomical snuff box.
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A physical examination revealed a pulsatile mass in the left anatomical snuff box (Fig. 1), and the findings on Allen's test was positive.
(a) Angiography shows a saccular aneurysm of the radial artery. (b) Angiography with the radial artery compressed shows adequate ulnar and interosseous supply to the digital arteries.
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Angiography demonstrated a saccular aneurysm of the distal radial artery (Fig. 2a), and an adequate ulnar and interosseous supply to the digital arteries was demonstrated by a study with the radial artery compressed using a compression device (Fig. 2b).
An intraoperative photograph showing the aneurysm.
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Under general anesthesia, upon the patient's request, the aneurysm site was incised (Fig. 3).
Pathological findings show the disruption of three layers of the arterial wall and an organized thrombus attached to its lumen (Elastica van Gieson stain 20x).
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The pathological examination revealed the disruption of three layers of the arterial wall in most parts of the aneurysm wall, indicating a false aneurysm, and an organized thrombus attached to its lumen (Fig. 4).