Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report

Abstract Background Traumatic femoral artery occlusion caused by blunt impact to the groin is rare; this condition is called the “motor-scooter handlebar syndrome.” We herein report a case of traumatic femoral artery occlusion and performed a literature review on its diagnosis and treatment. Case pr...

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Main Authors: Kenshi Yoshimura, Hirotsugu Hamamoto
Format: Article
Language:English
Published: SpringerOpen 2019-04-01
Series:Surgical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40792-019-0628-3
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author Kenshi Yoshimura
Hirotsugu Hamamoto
author_facet Kenshi Yoshimura
Hirotsugu Hamamoto
author_sort Kenshi Yoshimura
collection DOAJ
description Abstract Background Traumatic femoral artery occlusion caused by blunt impact to the groin is rare; this condition is called the “motor-scooter handlebar syndrome.” We herein report a case of traumatic femoral artery occlusion and performed a literature review on its diagnosis and treatment. Case presentation An 18-year-old man visited our hospital complaining of pain and swelling in his right groin and numbness in his right leg after a bicycle collision accident. Contrast computed tomography revealed an occlusion extending from the right external iliac artery to the common femoral artery. The right ankle–brachial index (ABI) was 0.50. We performed thrombectomy and femoral artery repair with a saphenous vein patch. The postoperative course was good, and the right ABI improved to 1.05. Conclusions Motor-scooter handlebar syndrome is a rare complication of traumatic injury. The presence of vascular injury should be considered in patients with groin or lower abdomen injuries following an impact with handlebars or similar hard objects. This injury often needs surgical treatment; therefore, prompt diagnosis is the key to successful treatment.
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spelling doaj.art-bd703f21e96f477c86168f33442260642022-12-22T01:24:18ZengSpringerOpenSurgical Case Reports2198-77932019-04-01511510.1186/s40792-019-0628-3Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case reportKenshi Yoshimura0Hirotsugu Hamamoto1Department of Cardiovascular Surgery, Almeida Memorial HospitalDepartment of Cardiovascular Surgery, Almeida Memorial HospitalAbstract Background Traumatic femoral artery occlusion caused by blunt impact to the groin is rare; this condition is called the “motor-scooter handlebar syndrome.” We herein report a case of traumatic femoral artery occlusion and performed a literature review on its diagnosis and treatment. Case presentation An 18-year-old man visited our hospital complaining of pain and swelling in his right groin and numbness in his right leg after a bicycle collision accident. Contrast computed tomography revealed an occlusion extending from the right external iliac artery to the common femoral artery. The right ankle–brachial index (ABI) was 0.50. We performed thrombectomy and femoral artery repair with a saphenous vein patch. The postoperative course was good, and the right ABI improved to 1.05. Conclusions Motor-scooter handlebar syndrome is a rare complication of traumatic injury. The presence of vascular injury should be considered in patients with groin or lower abdomen injuries following an impact with handlebars or similar hard objects. This injury often needs surgical treatment; therefore, prompt diagnosis is the key to successful treatment.http://link.springer.com/article/10.1186/s40792-019-0628-3Handlebar injuryCommon femoral arteryOcclusionThromboendarterectomy
spellingShingle Kenshi Yoshimura
Hirotsugu Hamamoto
Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report
Surgical Case Reports
Handlebar injury
Common femoral artery
Occlusion
Thromboendarterectomy
title Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report
title_full Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report
title_fullStr Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report
title_full_unstemmed Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report
title_short Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report
title_sort traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury a case report
topic Handlebar injury
Common femoral artery
Occlusion
Thromboendarterectomy
url http://link.springer.com/article/10.1186/s40792-019-0628-3
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AT hirotsuguhamamoto traumaticrightcommonfemoralarteryocclusioncausedbybluntbicyclehandlebarinjuryacasereport