Endovascular Stenting for a Crush Injury of the Common Femoral Artery Followed by Open Repair of Unveiled External Iliac Vein Injury after a Horse Fall

Vascular Specialist International

Jin-Ho Mun¹  Sang Su Lee²  Won Gong Chu²  Su-Kyung Kwon²  Dong Hyun Kim²  Je Hyung Park² 

[1] Department of General Surgery, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea;Division of Endovascular and Vascular Surgery, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea;

关键词: femoral artery;    iliac vein;    nonpenetrating injuries;    endovascular procedures;    groin;   

DOI  :  10.5758/vsi.200044

来源: DOAJ

【 摘 要 】

Accurate diagnosis and management of a femoral vascular injury is important as it is a life-threatening injury with high morbidity and mortality. This is the case of a 75-year-old man admitted to the emergency room with trauma to the right groin due to a horse fall. Computed tomography showed active bleeding of the femoral artery without pelvic or femoral fracture. We inserted a stent-graft, but hypotension persisted. Exploration of the groin was completed, and the bleeding from the external iliac vein was identified and repaired. In conclusion, vascular injury is rare in groin trauma without associated fracture, however, arterial and venous injury should not be completely ruled out. Endovascular therapy is worth recommending as a quicker and safer management than surgery in patients with active bleeding in the femoral artery. However, the possibility of combined injury of the femoral vein should be suspected in case of ongoing hemodynamic instability.

【 授权许可】

Unknown