Abstract
A 61-year-old man to his local hospital with anterior dislocation of the left shoulder, and the dislocation was reduced without difficulty. About 2 weeks later, the patient was admitted to the same hospital with increasing pain and swelling in the left side of the shoulder and axillary region. Because there was no disorder found associated with the shoulder joint or humerus, conservative management was applied for the next 2 weeks. However, the pain and swelling progressed and CT angiography was taken which revealed a pseudoaneurysm of the axillary artery. The patient was transferred to our hospital for surgical treatment. The surgical procedures consisted of replacement of the axillary artery with a prosthetic graft and pseudoaneurysm resection. The brachial plexus paresis, which had been observed at the time of transfer, remained after surgery. Although vascular complications are rare in cases following simple dislocation of the shoulder, axillary pseudoaneurysm as a possible but serious complication should be considered.
(Jpn J Vasc Surg 2010;19:565-568)