Endovascular Management of a Penetrating Zone III Retroperitoneal Gunshot Wound Injury; A Case Report

Bulletin of Emergency and Trauma

Saptarshi Biswas¹  Boris Hristov² 

[1] DEPARTMENT OF TRAUMA AND ACUTE CARE SURGERY,FORBES HOSPITAL.ALLEGHENY HEALTH NETWORK.PENNSYLVANIA.USA;Resident Surgeon,Department of General Surgery, Boca Raton Redgional Hospital,Florida.

关键词: Endovascular;    Penetrating Injury;    Retroperitoneal;    Gunshot injury;   

DOI  :  

学科分类：基础医学

来源: Shiraz University of Medical Sciences

【 摘 要 】

Traumatic iliac vessels injuries secondary to gunshot wound can often be fatal at the scene. One of the intriguing complications of vascular injuries is arteriovenous fistula. If the patient survives, these lesions may often not be diagnosed on first evaluation and patients may present with clinical signs and symptoms years later. Open surgical repair can have prohibitive morbidity and mortality and endovascular techniques, an effective treatment alternative, can interrupt the abnormal vascular communication and preserve artery vein patency. We describe a unique case of iliac arteriovenous fistula (AVF), secondary to a bullet injury, identified by imaging studies and subsequently treated with endovascular surgery. In conclusion, traumatic AVF are rare. Traditional teaching mandates that zone III pelvic retroperitoneal hematomas secondary to penetrating trauma be explored.  

【 授权许可】

CC BY