Posterior tibial artery aneurysm

True posterior tibial artery aneurysm is an extremely rare pathology. A fifty-three-year-old Bahraini female presented with a pulsatile mass behind the left medial malleolus for one year duration. Arterial duplex and angiogram revealed a true saccular aneurysm of the posterior tibial artery. The aneurysm was resected and the posterior tibial artery was reconstructed with end-to-end anastomosis