Trombosis venosa profunda como manifestación clínica inicial de un aneurisma de la arteria femoral común

A 55-year-old male who was urgently admitted to hospital with a clinical picture that was compatible with deep vein thrombosis in the left lower limb. His personal history included arterial hypertension and morbid obesity. The physical examination revealed oedema of the entire extremity, femoral and popliteal pulses were present, but the distal pulses were difficult to evaluate. A Doppler ultrasound recording showed the presence of an aneurysm in the common femoral artery and thrombosis of the femoral-iliac vein segment. The patient suffered symptoms of acute distal arterial ischaemia, and had to be submitted to an emergency surgical intervention involving an aneurysmectomy and placement of an iliofemoral graft with end-to-end anastomosis.