Pseudoaneurysms involving infrapopliteal artery are unfrequent. The most common site for lower limb extremity PSA is the anterior artery and rarely the posterior artery [1]. They are usually post-traumatic or iatrogenic [2,3]. Other factors were described, including, arteriosclerosis, Behcet’s disease, hemophilia and osteogenesis imperfecta, type IV of fibromuscular dysplasia, Ehlers-Danlos syndrome, Marfan’s disease.

In addition, other factors such as immunosuppression, malnutrition, and diabetes are also associated with the risk of PSA development [4].

The most common clinical presentation is pain, swelling, paresthesia (which is rare but has been described in the literature), pulsatile or pulseless mass, PSA may be asymptomatic and slightly delayed due to incidental findings during arteriography of know atherosclerotic disease [5,6].

The diagnosis is based on contrast enhanced Computed tomography, which allows to identify the morphology and dimensions, location, the search for complications such as fissure or rupture [2,7].

There is currently no consensus on general treatment strategies for PSA. The choice of treatment is influenced by the size and location of the PSA. It also depends on the patient's medical condition, clinical manifestations of PSA. With spontaneous improvement, smaller asymptomatic PSA values may be observed. However, larger symptomatic masses require resolution, treated endovascularly or surgically [8].