Surgery MCQs Q31

A 24-year-old IV drug abuser presents to a surgical outpatient clinic with a 2-week history of gradually increasing swelling in his left groin. On examination he is afebrile, and his pulse rate is 74/min. The swelling is non-tender but has expansile pulsation. There are no enlarged lymph nodes in the region. What is the most likely diagnosis?

A. Ectopic testis

B. Lipoma

C. Psoas abscess

D. Enlarged lymph nodes

E. Femoral artery aneurysm

Answer: E

The Correct Answer is Femoral artery aneurysm

Notes:

What Is Femoral Artery Aneurysm?

1. Femoral Artery Aneurysm like other aneurysm is a bulging in the wall of the femoral artery, the femoral artery is located in the thigh.
2. It is a rare condition and mostly seen in elderly individuals (Mostly after 70)
3. It is 2nd most common peripheral aneurysm (first most common is popliteal artery aneurysm)

What are the Risk factors of Femoral artery aneurysm?

1. Smoking
2. Hypertension
3. Arteriosclerosis
4. Connective tissue disease

What are the sign and symptoms?

1. It may be asymptomatic
2. May be presented with 5 Ps of Acute limb ischemia
3. Constant pain in abdomen or chest
4. Painless but pulsatile mass at the mid-inguinal region

What are the associations of Femoral Artery Aneurysm?

Femoral artery aneurysm is often associated with:

1. Abdominal artery aneurysm
2. Thoracic artery aneurysm

How to diagnose the femoral artery aneurysm?

Investigation should be done after Physical examining the patient

1. Best initial is: doppler ultrasound
2. For preoperative assessment: CT angiography

What are the complications of femoral artery aneurysm?

Rupturing of aneurysm

How to treat the aneurysm?

Femoral artery aneurysm is treated by surgery.

1. Surgical excision of aneurysm
2. Surgical bypass

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