Keywords
How to Cite
Abstract
A 28-year-old male patient was admitted to the Orthopedic Service for a joint biopsy
due to significant swelling in the left knee. He had a history of laparotomy for multiple
gunshot wounds one year earlier, a mass in the left knee with severe pain, joint
retraction, and gait limitation. Physical examination revealed a giant and reluctant mass
in the left suprapatellar region. The tomographic study with vascular contrast showed
a decrease in the caliber of the left superficial femoral artery in its distal portion prior
to the emergence of the adductor canal, secondary to a large mass in the posterior
compartment of the ipsilateral thigh. Arteriography showed a pseudoaneurysm of
the left popliteal artery with a significant decrease in the caliber of the left superficial
femoral artery. A firearm projectile was identified in the right knee. It was treated with
open surgery and cell salvager Medtronic®, the pseudoaneurysm was resected, and
raffia of the popliteal vein and arterial reconstruction with polytetrafluoroethylene
prosthetic graft was performed.
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