Endovascular Stenting for a Crush Injury of the Common Femoral Artery Followed by Open Repair of Unveiled External Iliac Vein Injury after a Horse Fall
Accurate diagnosis and management of a femoral vascular injury is important as it is a life-threatening injury with high morbidity and mortality. This is the case of a 75-year-old man admitted to the emergency room with trauma to the right groin due to a horse fall. Computed tomography showed active...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medrang
2020-09-01
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| Series: | Vascular Specialist International |
| Subjects: | |
| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200044 |
| _version_ | 1819043813866340352 |
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| author | Jin-Ho Mun Su-Kyung Kwon Dong Hyun Kim Won Gong Chu Je Hyung Park Sang Su Lee |
| author_facet | Jin-Ho Mun Su-Kyung Kwon Dong Hyun Kim Won Gong Chu Je Hyung Park Sang Su Lee |
| author_sort | Jin-Ho Mun |
| collection | DOAJ |
| description | Accurate diagnosis and management of a femoral vascular injury is important as it is a life-threatening injury with high morbidity and mortality. This is the case of a 75-year-old man admitted to the emergency room with trauma to the right groin due to a horse fall. Computed tomography showed active bleeding of the femoral artery without pelvic or femoral fracture. We inserted a stent-graft, but hypotension persisted. Exploration of the groin was completed, and the bleeding from the external iliac vein was identified and repaired. In conclusion, vascular injury is rare in groin trauma without associated fracture, however, arterial and venous injury should not be completely ruled out. Endovascular therapy is worth recommending as a quicker and safer management than surgery in patients with active bleeding in the femoral artery. However, the possibility of combined injury of the femoral vein should be suspected in case of ongoing hemodynamic instability. |
| first_indexed | 2024-12-21T10:02:45Z |
| format | Article |
| id | doaj.art-b3badb5e8a014ae3bb5826a7cf87ffef |
| institution | Directory Open Access Journal |
| issn | 2288-7970 |
| language | English |
| last_indexed | 2024-12-21T10:02:45Z |
| publishDate | 2020-09-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-b3badb5e8a014ae3bb5826a7cf87ffef2022-12-21T19:07:55ZengMedrangVascular Specialist International2288-79702020-09-0136318018510.5758/vsi.200044vsi.200044Endovascular Stenting for a Crush Injury of the Common Femoral Artery Followed by Open Repair of Unveiled External Iliac Vein Injury after a Horse FallJin-Ho Mun0Su-Kyung Kwon1Dong Hyun Kim2Won Gong Chu3Je Hyung Park4Sang Su Lee5Department of General Surgery, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, KoreaDivision of Endovascular and Vascular Surgery, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, KoreaDivision of Endovascular and Vascular Surgery, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, KoreaDivision of Endovascular and Vascular Surgery, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, KoreaDivision of Endovascular and Vascular Surgery, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, KoreaDivision of Endovascular and Vascular Surgery, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, KoreaAccurate diagnosis and management of a femoral vascular injury is important as it is a life-threatening injury with high morbidity and mortality. This is the case of a 75-year-old man admitted to the emergency room with trauma to the right groin due to a horse fall. Computed tomography showed active bleeding of the femoral artery without pelvic or femoral fracture. We inserted a stent-graft, but hypotension persisted. Exploration of the groin was completed, and the bleeding from the external iliac vein was identified and repaired. In conclusion, vascular injury is rare in groin trauma without associated fracture, however, arterial and venous injury should not be completely ruled out. Endovascular therapy is worth recommending as a quicker and safer management than surgery in patients with active bleeding in the femoral artery. However, the possibility of combined injury of the femoral vein should be suspected in case of ongoing hemodynamic instability.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200044femoral arteryiliac veinnonpenetrating injuriesendovascular proceduresgroin |
| spellingShingle | Jin-Ho Mun Su-Kyung Kwon Dong Hyun Kim Won Gong Chu Je Hyung Park Sang Su Lee Endovascular Stenting for a Crush Injury of the Common Femoral Artery Followed by Open Repair of Unveiled External Iliac Vein Injury after a Horse Fall Vascular Specialist International femoral artery iliac vein nonpenetrating injuries endovascular procedures groin |
| title | Endovascular Stenting for a Crush Injury of the Common Femoral Artery Followed by Open Repair of Unveiled External Iliac Vein Injury after a Horse Fall |
| title_full | Endovascular Stenting for a Crush Injury of the Common Femoral Artery Followed by Open Repair of Unveiled External Iliac Vein Injury after a Horse Fall |
| title_fullStr | Endovascular Stenting for a Crush Injury of the Common Femoral Artery Followed by Open Repair of Unveiled External Iliac Vein Injury after a Horse Fall |
| title_full_unstemmed | Endovascular Stenting for a Crush Injury of the Common Femoral Artery Followed by Open Repair of Unveiled External Iliac Vein Injury after a Horse Fall |
| title_short | Endovascular Stenting for a Crush Injury of the Common Femoral Artery Followed by Open Repair of Unveiled External Iliac Vein Injury after a Horse Fall |
| title_sort | endovascular stenting for a crush injury of the common femoral artery followed by open repair of unveiled external iliac vein injury after a horse fall |
| topic | femoral artery iliac vein nonpenetrating injuries endovascular procedures groin |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200044 |
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