The American Journal of Surgery
Volume 199, Issue 1 , Pages e1-e2, January 2010

Traumatic pseudoaneurysm of superficial temporal artery

Department of Neurosurgery, Tokushima Red Cross Hospital, 103 Irinoguchi, Komatsushima-cho, Komatsushima-shi, Tokushima 773-8502, Japan

Received 13 January 2009; received in revised form 11 March 2009 published online 27 September 2009.

Abstract 

An 83-year-old man reported falling and bumping his right lateral forehead on the ground 3 weeks previously. Physical examination revealed a soft, reddish swelling on the lateral forehead. Computed tomography confirmed a hematoma of the right lateral forehead. On the seventh hospital day, the swelling showed slight enlargement. Re-examination revealed a pulsatile mass with a palpable thrill and systolic bruit. Doppler echo showed pulsation of the swelling, which disappeared with compression of the anterior branch of the superficial temporal artery (STA). Surgical exploration was performed, and the pseudoaneurysm was resected. Pathological findings confirm a pseudoaneurysm.

Keywords: Pseudoaneurysm of superficial temporal artery, Injury, History taking, Physical examination

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PII: S0002-9610(09)00371-7

doi:10.1016/j.amjsurg.2009.03.022

The American Journal of Surgery
Volume 199, Issue 1 , Pages e1-e2, January 2010

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