Uncommon vascular complication: pseudoaneurysm of the common femoral artery following recurrent right inguinal hernioplasty

Abstract

Femoral artery pseudoaneurysm is an uncommon but potentially severe vascular complication that may occur following surgical procedures in the inguinal region. Its appearance is usually associated with iatrogenic injury during dissection or reoperation. We present the case of a 58-year-old male with a history of recurrent right inguinal hernioplasty, who developed a common femoral artery pseudoaneurysm four months after surgery. Diagnosis was established by Doppler ultrasound and CT angiography, confirming communication with the arterial lumen. Direct surgical repair was performed with favorable postoperative evolution. Although rare, this complication requires a high level of clinical and diagnostic suspicion to avoid severe hemorrhagic consequences. Careful postoperative follow-up and accurate identification of vascular structures are essential for prevention (Chowdhury et al., 2024; Gou et al., 2024).