Yesterday, James went to the VA ER for groin pain on the right side. The vital nursing assistant ask the RN why she was hooking Jim up to the Heart monitor just for groin pain. The nurse told her his groin hurts because of surgery. They admitted him when the Doppler ultrasound reviled a possible pseudoaneurysm. The left side was still purple from the Hematoma that occurred during the original surgery due to the calcification of Jim's iliac vein. The DR said that they had to hold the left side for 45 minutes to stop the bleeding. Today they took a CT SCAN. The 3rd year South Western Medical Student assigned to Jim's case for the next two days, met with Jim and me this evening. I teased the girls about the 4 young med students who came to take him for tests.
pseudoaneurysm, also known as a false aneurysm, is a hematoma that forms as the result of a leaking hole in an artery. Note that the hematoma forms outside the arterial wall, so it is contained by the surrounding tissues. Also it must continue to communicate with the artery to be considered a pseudoaneurysm. Abnormal AV fistulas like the one that caused Jims brain hemorrhage are usually the cause of pseudoaneurisms.
Femoral pseudoaneurysms may complicate up to 8% of vascular interventional procedures. | | |
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