Ulnar artery aneurysm: case report and review of the literature

Aim. We report a case of ulnar and palmar arch artery aneurysm in a 77 years old man without history of any occupational or recreational trauma, vasculitis, infections or congenital anatomic abnormalities. We also performed a computed search of literature in PUBMED using the keywords “ulnar artery aneurysm” and “palmar arch aneurysm”. Case report. A 77 years old male patient was admitted to hospital with a pulsing mass at distal right ulnar artery and deep palmar arch; at ultrasound and CT examination a saccular aneurysm of 35 millimeters at right ulnar artery and a 15 millimeters dilatation at deep palmar arch were detected. He was asymptomatic for distal embolization and pain. In local anesthesia ulnar artery and deep palmar arch dilatations were resected. Reconstruction of vessels was performed through an end-to-end microvascular repair. Histological examination confirmed the absence of vasculitis and collagenopaties. In postoperative period there were no clinical signs of peripheral ischemia, Allen’s test and ultrasound examination were normal. At follow-up of six months, the patient was still asymptomatic with a normal Allen test, no signs of distal digital ischemia and patency of treated vessel with normal flow at duplex ultrasound. Conclusion. True spontaneous aneurysms of ulnar artery and palmar arch are rare and can be successfully treated with resection and microvascular reconstruction.

Telesia Archaeological Project: Indagini nella basilica e nel foro (2014-2015)

The Telesia Archaeological Project is an initiative that will make a significant contribution to thi historical and archaeological knowledge of the urban area of the Roman city of Telesia, located near Benevento (S. Salvatore Telesino). The first and second season of the Telesia Archaeological Project (2014-2015), conducted under the supervision of the Archaeological Superintendence, and thanks to the indispensable collaboration of a private landowner, provided results of great scientific interest. There was the possibility to investigate part of a significant building of imperial age, richly decorated, identified with the basilica of the city. It was possible to establish, in addition, that this large building (36 by 21 m ca) was opened, through a great brick colonnade, to the forum, localized in summer 2015 with certainty for the first time. The extraordinary large double colonnade (porticus duplex), 9 meters wide, covering the entire façade of that public building, was erased in the fifth century AD, probably after two earthquakes that seriously damaged the city in 346 and 375 AD.