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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 2020년 36권 3호 p.180 ~ 185
문진호, Kwon Su-Kyung, 김동현, Chu Won-Gong, Park Je-Hyung, 이상수,
소속 상세정보
문진호 ( Mun Jin-Ho ) - Pusan National University Yangsan Hospital Department of Surgery
 ( Kwon Su-Kyung ) - Pusan National University Yangsan Hospital Department of Surgery
김동현 ( Kim Dong-Hyun ) - Pusan National University Yangsan Hospital Department of Surgery
 ( Chu Won-Gong ) - Pusan National University Yangsan Hospital Department of Surgery
 ( Park Je-Hyung ) - Pusan National University Yangsan Hospital Department of Surgery
이상수 ( Lee Sang-Su ) - Pusan National University Yangsan Hospital Department of Surgery

Abstract


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.

키워드

Femoral artery; Iliac vein; Nonpenetrating injuries; Endovascular procedures; Groin

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