[Embolization of the brachial artery by lead-shot with ischemic syndrome].
Pre-operative arteriography in a 5-year-old girl with a gun-shot wound of the shoulder demonstrated the presence of an arterial embolus at the elbow provoking an ischemic syndrome. Following re-establishment of circulation by embolus extraction the arterial perforation at the point of entry was repaired by a venous graft, loss of shoulder substance being treated by a musculocutaneous flap from the latissimus dorsi region. Pre-operative arteriography should be a routine investigation in patients with ischemic syndromes of the limbs following injury from penetrating projectiles.
D001132:Arm / Q000098:blood supply*; D001916:Brachial Artery / Q000000981:diagnostic imaging* / Q000601:surgery; D002675:Child, Preschool; D004617:Embolism / Q000209:etiology*; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D011859:Radiography; D000070599:Shoulder Injuries; D014948:Wounds, Gunshot / Q000150:complications*
Embolisation de l'artère humérale par plomb de chasse avec syndrome ischémique.