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![]() ![]() Femoral artery was transected and proximal and distal ends were taken into control. On exploration of right groin, there was a huge pseudoaneurysm in the groin extending above the inguinal ligament with 1 l of clot and blood (Fig. Thus, the patient was planned for exploration of pseudoaneurysm and urinary bladder. Huge clot was also noted in the bladder with no obvious lesion in the kidney, ureter and bladder (Fig. ![]() On contrast enhanced CT, a right common femoral pseudoaneurysm of size 12.5 × 6 × 6.5 cm was noted with intra-abdominal extension. Postoperatively, hematuria continued despite transfusion and, hence, emergent abdominal pelvic CT scan was performed. During cystoscopy, nothing was visible due to massive clot inside the bladder which was incompletely evacuated so three-way Foley catheter was left in situ for continuous postoperative irrigation. The patient was planned for urinary bladder exploration along with evacuation of clot by urology team by cystoscopy after adequate resuscitation. Ultrasonogram of abdomen and pelvis revealed distended urinary bladder with clots and pseudoaneurysm of right common femoral artery measuring ∼112 × 69 × 87 mm (Fig. ![]() His hemoglobin was 6.3 g% and CBC was high. Distal pulsation in the right leg was present. Rest of his vitals and general examination was within normal limits. On arrival to our emergency room, the patient was conscious oriented tachycardic with a diffuse nonpainful nontender swelling in his right groin. A 25-year-old HCV-positive male with a history of IV drug abuse for the past 3 years presented to our institution with complaint of pain lower abdomen and frank hematuria after receiving a minimal blow to his lower abdomen by his 4-year-old daughter during her play 6 days back. ![]()
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