Atherosclerotic popliteal aneurysms are the most common peripheral artery aneurysms. Thrombosis, embolization, rupture, and compression of adjacent structures are well-known complications. We report a patient with a giant thigh hematoma and a pulsatile mass thought to be a ruptured popliteal artery aneurysm. It proved to be an unruptured 8.5 cm femoropopliteal aneurysm with avulsed and bleeding adjacent veins, the source of the hematoma. This constitutes the first known report of this unusual complication.
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