| Autor: |
Jin-Ho Mun, Su-Kyung Kwon, Dong Hyun Kim, Won Gong Chu, Je Hyung Park, Sang Su Lee |
| Jazyk: |
English<br />Korean |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
Vascular Specialist International, Vol 36, Iss 3, Pp 180-185 (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2288-7970 |
| DOI: |
10.5758/vsi.200044 |
| Popis: |
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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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