SPONTANEOUS RUPTURED OF RIGHT DEEP BRACHIAL ARTERY PSEUDOANEURYSM WITH UNDERLYING NEUROFIBROMATOSIS TYPE 1

Received 2023-02-07; Accepted 2023-06-01; Published 2023-10-10

Authors

  • Chun Chau Tan 1 Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Kuala Lumpur.
  • Fatihah Anisah Mukthar Department of Emergency Medicine, Hospital Sultanah Bahiyah Km 6, Jalan Langgar, 05460 Alor Setar, Kedah.
  • Fatahul Laham Mohamed Department of Emergency Medicine, Hospital Sultanah Bahiyah Km 6, Jalan Langgar, 05460 Alor Setar, Kedah.

DOI:

https://doi.org/10.22452/jummec.vol26no2.25

Keywords:

neurofibromatosis, pseudoaneurysm, spontaneous rupture

Abstract

Neurofibromatosis type 1 (NF-1) is known to develop vascular lesions, yet they are uncommon. If missed or ignored, it can be limb-threatening. When a ruptured pseudoaneurysm is clinically identified, rapid surgical intervention is required. We discuss a case of NF-1 that involved a spontaneous rupture of the right deep brachial artery. A 41-year-old woman reported sudden right arm swelling and intensifying pain. She was hemodynamically stable; however, her right arm was enlarged and tense on examination. A radiological test revealed a deep brachial artery haemorrhage. The patient was promptly referred to a vascular surgeon and had endovascular intervention performed. Early detection, emergency angiography, and endovascular treatment for vascular lesions should be initiated immediately.

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Published

2023-10-10

Issue

Vol. 26 No. 2 (2023)

Section

Research article

License

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