Isolated common femoral artery injury caused by blunt trauma.
The authors report an isolated common femoral artery injury caused by blunt trauma with dissection and secondary ischaemia. A 21-year-old man was admitted to hospital after being stabbed during acute alcoholic intoxication. He presented with a stab wound on the left leg and blunt trauma in the right groin. The surgical exploration of the left-sided wound did not disclose any vascular injury. After a 12-hour period of observation, the patient was discharged. Six hours later, he came back with severe ischaemia on the right leg caused by a femoral artery dissection. The patient underwent surgical revascularization, and fully recovered. Isolated artery blunt trauma is a rare event. In this observation, the absence of early symptoms resulted in delayed diagnosis.
Avaro
J P
JP
Fédération de chirurgie viscérale et thoracique, Hôpital d'Instruction des armées A. Laveran, Marseille Armées, France. jeanphilippe.avaro@ap-hm.fr
Biance
N
N
Savoie
P H
PH
Peycru
T
T
Bonnet
P M
PM
Balandraud
P
P
D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008297:Male; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis*; D055815:Young Adult