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...

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Bibliographic Details
Published in:Vascular Specialist International 2020, 36(3), , pp.180-185
Main Authors: Mun, Jin-Ho, Kwon, Su-Kyung, Kim, Dong Hyun, Chu, Won Gong, Park, Je Hyung, Lee, Sang Su
Format: Article
Language:English
Subjects:
Case Report
endovascular procedures
femoral artery
groin
iliac vein
nonpenetrating injuries
일반외과학
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Summary: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.
ISSN:2288-7970
2288-7989
DOI:10.5758/vsi.200044