{"pk":1214,"title":"A Case Report of Ruptured Popliteal Aneurysm in the Setting of Blunt Trauma","subtitle":null,"abstract":"Introduction: \nPopliteal artery aneurysms are in most cases asymptomatic but cause significant complications if ruptured. An acute popliteal aneurysm rupture is relatively rare, and few cases have been documented secondary to blunt trauma. Common presenting signs and symptoms include distal limb ischemia and absent dorsalis pedis pulses. Timely management and recognition of this rare presentation are crucial as this condition can result in limb loss or death if not treated in a timely manner.\nCase Report:\n An 80-year-old man with history of hypertension presented to the emergency department complaining of inability to feel sensation below his left knee after falling from ground level. Physical examination was pertinent for bounding radial and femoral pulses bilaterally, although absent dorsalis pedis and posterior tibial pulses to the left lower extremity. Computed tomography angiography identified occlusion of the left superficial femoral arterial lumen associated with a ruptured popliteal aneurysm, approximately eight centimeters in size. He immediately received unfractionated heparin and was admitted to the hospital for left medial thigh exploration and decompressive dermatofasciotomy.\nConclusion:\n After confirmation of popliteal aneurysmal rupture with advanced imaging, heparinization and vascular surgery consultation are critical steps that should be taken to prevent limb loss.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"popliteal artery"},{"word":"aneurysm rupture"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2kq030j0","frozenauthors":[{"first_name":"Jaymes","middle_name":"A.J.","last_name":"Lonzanida","name_suffix":"","institution":"Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California","department":"None"},{"first_name":"Bryan","middle_name":"E.","last_name":"Love","name_suffix":"","institution":"Desert Regional Medical Center, Desert Trauma Surgeons, Palm Springs, California","department":"None"},{"first_name":"Brian","middle_name":"L.","last_name":"Anderson","name_suffix":"","institution":"Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California","department":"None"}],"date_submitted":"2023-01-19T11:44:38-08:00","date_accepted":"2023-01-19T11:44:38-08:00","date_published":"2023-01-19T00:00:00-08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1214/galley/951/download/"}]}