ly“Bill's Bulge” – a 14.5?cm Femoral Aneurysm Case Report and Literature Review

摘要

Introduction: True femoral aneurysms are a rare but important cause of groin swelling. Report: We report a 79 year-old male, presenting with intermittent claudication and leg oedema after 25 years of a growing left groin swelling. On examination the mass was 14.5 cm in diameter and pulsatile with an audible bruit. Distal pulses were absent. Perfusion was restored by interposition of a PTFE graft between CFA and PFA. Discussion: This case presents the largest reported true common femoral aneurysm. Conven- tional open repair is recommended when diameter exceeds 2.5 cm. Although endovascular techniques are evolving, they were not possible in this case.