case_images: PMC11745963_01
case_images: First-day computed tomography. Initial imaging indicated a left femoral bone shaft fracture without any evidence of pseudoaneurysm or fistula.
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case_images: According to the stable vital signs, he underwent initial computed tomography (CT) scans due to the high-energy trauma, revealing a significant left femoral shaft fracture and surrounding hematoma in the left adductor muscles (Fig. 1).
case_images: Rectal wall orifice, which was detected by colonoscopy.
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case_images: However, an orifice was found in the rectal wall, with less than 5 cm distance from the anal verge, along with evidence of mild ischemic colitis (Fig. 2).
case_images: CT angiography revealed a pseudoaneurysm of the deep femoral artery. A: Coronal view; B: Axial view.
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case_images: Post-operatively, with stabilized vital signs with sufficient resuscitation, we repeated CT angiography and a pseudoaneurysm of the deep femoral artery was identified (Fig. 3).