Profunda femoris artery (PFA) aneurysms ape extremely uncommon. In contrast
to other peripheral artery aneurysms, they frequently are symptomatic and
prone to rupture. Ultrasonography is the diagnostic modality of choice, and
is complemented by other imaging methods. Surgical treatment is mandatory
both for symptomatic and asymptomatic patients in order to avoid hazardous
complications. The authors report a case of a ruptured atherosclerotic PFA
aneurysm, emphasizing its clinical features and discussing the accuracy of
Duplex scanning as a preoperative study. The techniques employed in surgica
l management also are described.