Distal Posterior Tibial Artery pseudoaneurysm following tend | Figure 1

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Distal Posterior Tibial Artery pseudoaneurysm following tendon surgery.

#psa #pseudoaneurysm

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A 59-year-old male with acute on chronic pancreatitis complicated by pseudocyst formation and gastroduodenal artery (GDA) pseudoaneurysm presented with symptomatic acute blood loss anemia from lower GI bleeding despite recent coil embolization of GDA pseudoaneurysm. Upper endoscopy was unremarkable. Delayed phase selective angiography of the superior mesenteric artery is shown.\

  1. What is the most common pathologic condition associated with GDA pseudoaneurysm?\
  2. What is the appropriate management of visceral pseudoaneurysms that fail endovascular management?](https://app.figure1.com/case-detail/0f0bfb55-412d-4fe8-98b9-83d20f2e307f)



Same #Pseudoaneurysm as prior now on angiogram](https://app.figure1.com/case-detail/1b3cbd92-c417-404c-bc38-72f45cfca8c7)



Pseudoaneurysms on AV fistula](https://app.figure1.com/case-detail/37f27690-0ee1-4818-8525-4577f1da35ac)



Mesenteric angiogram demonstrates large SMA pseudoaneurysm (red arrow) with compression of the aorta (blue arrow) by adjacent hematoma. A catheter was positioned at the origin of the pseudoaneurysm for treatment (green arrow). Multiple detachable coils were placed within the pseudoaneurysm sac with Onyx® Liquid Embolic System used to create a cap along the coil mass (yellow arrow). The patient stabilized. Endovascular treatment of traumatic pseudoaneurysms offer a minimally invasive alternative to traditional surgical approaches. (Courtesy of Andrew Picel MD)](https://app.figure1.com/case-detail/506d652c-9c11-4e11-a058-f5450b9efda5)



A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



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patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)