August 2016

Transverse image of the lesion on the dorsal side of the ankle

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Clinical information

Persistent swelling after a trauma of the ankle.

Ultrasound Images & Clips

Persistent swelling after trauma

Transverse image of the lesion on the dorsal side of the ankle

Longitudinal image of the lesion on the dorsal side of the ankle

Transverse image of the lesion with compression

Longitudinal image with color shows the artery with a small neck entering the lesion

The neck fills part of the lesion but a large part doesn't show flow

Another color Doppler image

Transverse image with e-flow. Part of the mass doesn't show any flow

MRI

MRI 2

MRI 3

MRI 4

Conclusion

The lesion proved to de a false aneurysm in an unusual place partially filled with thrombus. It was successfully treated with a thrombin injection.

Details

Sex: Female
Age: 63
Body part: Ankle

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Fujifilm Ultrasound System

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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