Infected femoral pseudoaneurysm

BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5617 (Published 23 November 2016) Cite this as: BMJ 2016;355:i5617
  1. Nadia Hitchen, foundation year 1 doctor1,
  2. Dilshan Warnapala, foundation year 1 doctor2,
  3. Matthew Gibson, consultant radiologist3
  1. 1Department of Cardiology, Royal Berkshire Hospital, Reading, UK
  2. 2Department of General Surgery, Royal Berkshire Hospital, Reading, UK
  3. 3Department of Radiology, Royal Berkshire Hospital, Reading, UK
  1. Correspondence to: Nadia Hitchen nh9235{at}my.bristol.ac.uk

A 47 year old man presented with a grossly oedematous, erythematous, and tender right leg. He was an injecting drug user and frequently injected heroin via his groin. He had a white cell count of 26.9×109/1 and a C reactive protein level of 280 mg/L. Blood cultures grew meticillin sensitive Staphylococcus aureus. Computed tomography revealed a large pseudoaneurysm of the superficial femoral artery (fig 1) (A) surrounded by an air containing, septated collection extending into the retroperitoneum (fig 1) (B). He underwent ligation of the affected artery and washout of the collection. Infected femoral pseudoaneurysm is an important differential when injecting drug users present with swelling of the leg or groin.


  • Patient consent obtained

View Abstract

Log in

Log in through your institution


* For online subscription