case_images: PMC10854206_01
case_images: Plain radiographs of the right femur in lateral and anteroposterior (AP) views (A and B) reveal a midshaft right femur fracture with anterolateral displacement of the distal part, as indicated by the white arrow.
case_images: cureus-0016-00000052009-i01.jpg
case_images: PMC10854206_01_cureus-0016-00000052009-i01.jpg
case_images: FIG1
case_images: Upon assessment, he was diagnosed with a closed fracture of the midshaft right femur (Figure 1) and an ipsilateral distal tibia fracture.
case_images: Post-operative plain radiographs of the right femur in oblique and anteroposterior (AP) views (A and B) show the interlocking nail femur in situ with a satisfactory fracture reduction.
case_images: cureus-0016-00000052009-i02.jpg
case_images: PMC10854206_01_cureus-0016-00000052009-i02.jpg
case_images: FIG2
case_images: An 11-mm nail was then inserted, and the procedure was completed by securing proximal and distal screws (Figure 2).
case_images: A: Ultrasonography of the right thigh confirmed the diagnosis of pseudoaneurysm of LFCA (white arrow). B: The color Doppler image illustrates a typical characteristic of the yin-yang sign within the pseudoaneurysm sac.
case_images: cureus-0016-00000052009-i03.jpg
case_images: PMC10854206_01_cureus-0016-00000052009-i03.jpg
case_images: FIG3
case_images: An ultrasonography of the right thigh revealed a heterogenous collection at the anterolateral aspect, measuring 4.7 cm x 7.9 cm x 11.8 cm (AP x Wt x CC), consistent with a hematoma that communicates with the LFCA (Figure 3).
case_images: Pre- and post-angiography images (A and B) depict the guided embolization of a false aneurysm in a branch of the lateral femoral circumflex artery (LFCA) (white arrow).
case_images: cureus-0016-00000052009-i04.jpg
case_images: PMC10854206_01_cureus-0016-00000052009-i04.jpg
case_images: FIG4
case_images: Subsequently, 1.5 ml of diluted Hystoacryl  glue was injected to secure the pseudoaneurysm (Figure 4).