title: Traumatic ulnar artery pseudoaneurysm following a grenade blast: report of a case.
abstract: Vascular injuries comprised a small percentage of total injuries requiring medevac in the Iraq and Afghanistan conflicts; however, their impact cannot be overstated. This case highlights an individual who sustained a grenade blast injury leading to hemorrhage, and forearm compartment syndrome. He was initially treated with irrigation and debridement, forearm fasciotomy, and delayed primary closure. The patient developed persistent ulnar neuropathy and hypothenar atrophy despite a normal initial vascular examination. During reconstructive surgery, he was discovered to have a proximal ulnar artery pseudoaneurysm. Upper extremity pseudoaneurysms are a rare sequelae following vascular injury, but have significant consequences for the patient and are identifiable by imaging.
authors.affiliation: Uniformed Services University, Bethesda, MD 20814.
authors.forename: Leonid
authors.initials: L
authors.lastname: Belyayev
authors.affiliation: Department of Surgery, Uniformed Services University, Bethesda, MD 20814.
authors.forename: Norman M
authors.initials: NM
authors.lastname: Rich
authors.affiliation: Department of Surgery, Uniformed Services University, Bethesda, MD 20814.
authors.forename: Patricia
authors.initials: P
authors.lastname: McKay
authors.affiliation: Department of Surgery, Uniformed Services University, Bethesda, MD 20814.
authors.forename: Leon
authors.initials: L
authors.lastname: Nesti
authors.affiliation: Department of Surgery, Uniformed Services University, Bethesda, MD 20814.
authors.forename: Gary
authors.initials: G
authors.lastname: Wind
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000209:etiology*; D001753:Blast Injuries / Q000150:complications*; D003161:Compartment Syndromes / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008889:Military Personnel; D017535:Ulnar Artery / Q000293:injuries*; D014481:United States; D054041:Weapons