Presenter: Ramez Shehata

Affiliation: Countess of Chester NHS, UK

Abstract

This article reports a 26-year-old male with popliteal pseudoaneurysm and acute limb ischemia caused by tibial osteochondroma. Emergency surgery involving vascular repair and bone spur resection restored perfusion, though tibial nerve damage persisted. This case highlights bone-related vascular emergencies.

Introduction

Osteochondroma-induced vascular complications are rare but limb-threatening. Early surgical intervention is critical to prevent irreversible damage.

Case Study

The patient presented with right limb ischemia and a history of recurrent DVTs. 

CT angiography revealed:Large Popliteal Pseudoaneurysm: Secondary to sharp tibial bone spur compression.

Intervention:

Arterial Repair: Resection and saphenous vein interposition graft.

Bone Spur Resection: Orthopedic smoothing and biopsy (benign histology).

Postoperatively, limb perfusion was restored, but tibial nerve conduction deficits remained.

Conclusions

1.Multidisciplinary management is vital for osteochondroma-related vascular injuries.

2.Urgent surgery salvages limbs but may not reverse neurological deficits.

3.Long-term monitoring for recurrence and vascular integrity is essential.