Delayed presentation of superficial femoral artery injury: report of a case.
We describe herein a patient who developed serious complications following a penetrating injury to the lower limb. There was minimal evidence of vascular injury on the initial presentation at the hospital; in particular the ankle systolic pressure was normal. Fourteen days following the initial injury, he was found to have a pseudoaneurysm of the superficial femoral artery associated with the arteriovenous fistula in his left thigh. The findings of this case suggest that a high index of suspicion and a careful clinical review is essential if vascular injuries and their complications are not to be missed.
Ariyoshi
H
H
Department of Surgery II, Osaka University Medical School, 2-2 Yamada-oka, Suita, Osaka 565-0871, Japan.
Miyaso
S
S
Aono
Y
Y
Kawasaki
T
T
Sakon
M
M
Monden
M
M
D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D005263:Femoral Artery / Q000293:injuries / Q000473:pathology* / Q000601:surgery; D005547:Foreign Bodies; D006801:Humans; D007869:Leg Injuries / Q000150:complications*; D008297:Male; D013997:Time Factors; D014950:Wounds, Penetrating / Q000150:complications*