Radial artery Aneurysm in a young man working in bar

Glass bottle or glass piece injuries to the forearm can easily injure the radial artery which is superficial and close to the bone. The local pressure can stop the bleeding and it may result in thrombosis of the radial artery without any problems. But in some it can recanalize and later present as pseudoaneurysm ( 2-3 months) as in this case. It will be tender to touch and starts expanding after that. In this patient the ulnar artery is palpable and it is providing the major blood supply to the palm. Simple excision of the aneurysm and repair of the radial artery is required. Some times one may argue that ligation of the radial artery proximal and distal to the aneurysm may be sufficient to releive the symptoms.