DOI: 10.36347/sjmcr.2018.v06i12.017

Pages: 1061-1064

True atherosclerotic aneurysm of the superficial femoral artery is an uncommon entity and frequently associated with aortic and other peripheral aneurysms. It is commonly seen in elderly men and usually presents late with complications, especially rupture of aneurysm when grossly enlarged, due to its anatomical location. Herein our case, we presented a 52-year-old woman who complained of 8-month progressive swelling of the left thigh, associated with calf pain and intermittent claudication. Colour duplex scan and MRI were used to diagnose a 12 cm segment of isolated giant atherosclerotic aneurysm of about 8 cm in its transverse diameter of the superficial femoral artery with mural thrombus. She had excision and interposition graft repair, which was uneventful. Imaging plays a vital role in making prompt diagnosis, ruling out other frequent associations such as aortic, iliac and popliteal aneurysms and also for follow up of the patients.