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A Case Report of Peroneal Artery Aneurysm with Soft Tissue Tumor Presentation


It is well-known in clinical practice that the manifestation of a pseudo-aneurysm as a musculoskeletal tumor is extremely rare. The peroneal artery aneurysm is usually diagnosed by physical examination and imaging. However, when a soft tissue aneurysm manifests with adjacent osseous changes, it can mimic a bone tumor or soft tissue sarcoma. In this study, we report a patient with pain and swelling in the shin in which aneurysm in peroneal artery has mimicked soft tissue sarcoma. This case is presented to emphasize that differential diagnosis is critical for pseudo-aneurysm and the appearance of a visible soft tissue mass or erosion in the adjacent bone.


  1. Erler K, Ozdemir MT, Oguz E, Basbozkurt M. Does false aneurysm behave like a sarcoma? Distal femoral arterial false aneurysm simulated a malign mesenchymal tumor: a case report and review of the literature. Arch Orthop Trauma Surg 124(1):60-3, 2004.
  2. Keller PM, Simon MS. Post-traumatic false aneurysm simulating a soft tissue tumor. Orthopedics 11(4): 641-3, 1988.
  3. Gantz ED, Sweet MB, Jakim I. False aneurysm mimicking an aggressive soft-tissue tumor: a case report. J Bone Joint Surg Am 70(7):1090-2, 1988.
  4. Fitzgerald EJ, Bowsher WG, Ruttley MS. False aneurysm of the femoral artery: computed tomographic and ultrasound appearances. Clin Radiol 37(6):585-8, 1986.
  5. Novelline RA, Rhea JT, Rao PM, Stuk JL. Helical CT in emergency radiology. Radiology 213(2):321-39, 1999.
  6. Soto JA, Múnera F, Morales C, Lopera JE, Holguín D, Guarín O, et al. Focal arterial injuries of the proximal extremities: helical CT arteriography as the initial method of diagnosis. Radiology 218(1):188-94, 2001.
  7. Barzi DM, Sami SH, Fallah E. Pseudo-aneurysm of anterior tibia artery simulating a soft tissue sarcoma: a case report. Acta Medica Iranica. 2014:234-7.
  8. Usselman JA, Vint VC, Kleiman SA. CT diagnosis of aortic pseudoaneurysm causing vertebral erosion. AJR Am J Roentgenol 133(6):1177-9, 1979.
  9. Bilotta W, Walker H, McDonald DJ, Sundaram M. Case report 651: Thrombosed, leaking popliteal aneurysm. Skeletal Radiol 20 (1):71-2, 1991.
  10. Parry DJ, Kessel D, Scott DJ. False aneurysm of the peroneal artery: an unusual complication of femoro-peroneal bypass grafting. Cardiovasc Surg 10 (1):54-7, 2002.
  11. Kim Y.J, Baek W.K, Kim J.Y, Park S.W, Jeon Y.S, Lee K.H, et al. Pseudoaneurysm of the popliteal artery mimicking tumorous condition. J Korean Surg Soc 80(Suppl 1): S71–S74, 2011.

How to Cite

Hajialiloo Sami, S., Ebrahimi, S. A., Arefpour, A. M., Mirkazemi, M., & Izanloo, A. (2021). A Case Report of Peroneal Artery Aneurysm with Soft Tissue Tumor Presentation. The Cancer Press Journal, 7(1), 26–28.