Hemodynamic Instability after Low-Energy Thigh Contusion Caused by Injury to the Femoral Artery: A Case Report and Literature Review.
Acute vascular injuries have been described in relation to high-energy trauma accidents or in patients undergoing surgery in the femoral area. We describe a healthy patient who sustained a direct, low-energy contusion in the thigh and presented haemodynamic instability. Arteriography was used to locate the point of bleeding, and embolisation and vessel occlusion were carried out to stop the haemorrhage. The genetic study identified the COL3A1 gene mutation; accordingly, the patient was diagnosed with the Ehlers-Danlos syndrome type IV (vascular type).
Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, C/Villarroel 170, 08036 Barcelona, Spain.
Juan Miguel
JM
Rodríguez-Roiz
Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, C/Villarroel 170, 08036 Barcelona, Spain.
José
J
Ballesteros-Betancourt
Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, C/Villarroel 170, 08036 Barcelona, Spain.
Raquel
R
García-Tarriño
Department of Orthopaedic Surgery and Traumatology, Hospital de l'Esperit Sant, C/Avinguda Mossen Pons i Rabadà s/n, Santa Coloma de Gramenet, 08923 Barcelona, Spain.
Victor Antonio
VA
Rodríguez-Roiz
Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, C/Villarroel 170, 08036 Barcelona, Spain.
Manuel
M
Llusa