title: Delayed presentation of bilateral popliteal artery injury.
abstract: We describe a patient who developed serious vascular complications following gunshot wounds to both popliteal fossae. There was minimal evidence of vascular injury on presentation to hospital, in particular ankle systolic pressures were normal. Five days following the initial injuries he was found to have a false aneurysm of the popliteal artery in his right leg and an arteriovenous fistula affecting the popliteal vessels of his left leg. The roles of arteriography and Doppler pressure studies in assessment of possible peripheral vascular injury following penetrating trauma are discussed. It is emphasised that a high index of suspicion and careful clinical review is essential if vascular injuries and their complications are not to be missed.
authors.affiliation: Vascular Surgery Unit, Royal Victoria Hospital, Belfast, Northern Ireland.
authors.forename: A N
authors.initials: AN
authors.lastname: Graham
authors.forename: S A
authors.initials: SA
authors.lastname: Henderson
authors.forename: G F
authors.initials: GF
authors.lastname: McCoy
authors.forename: G G
authors.initials: GG
authors.lastname: Cooper
authors.forename: J M
authors.initials: JM
authors.lastname: Hood
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000601:surgery; D006801:Humans; D008297:Male; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D014680:Veins / Q000637:transplantation; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*