Pseudoaneurysm of the peroneal artery: presentation of Ehlers-Danlos syndrome type IV.

K Mandeville; C Bicknell; T Tran; K MacDermot; S Renton; (2008) Pseudoaneurysm of the peroneal artery: presentation of Ehlers-Danlos syndrome type IV. European journal of vascular and endovascular surgery, 36 (3). pp. 353-355. ISSN 1078-5884 DOI: 10.1016/j.ejvs.2008.02.011
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INTRODUCTION: Pseudoaneurysms in deep or unusual sites raise the possibility of an underlying vessel wall disorder. REPORT: A 28-year-old woman presented with pain and swelling of her calf, with no history of trauma. Angiography diagnosed a peroneal artery pseudoaneurysm, which we embolised successfully. Subsequent genetic analysis revealed the COL3A1 mutation, confirming Ehlers-Danlos syndrome type IV. CONCLUSION: To our knowledge, this is the first report of a peroneal artery pseudoaneurysm associated with underlying collagen vascular disease.

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