Acute blunt popliteal artery injury

CaseA 45‐year‐old man was brought to our hospital in pre‐shock after falling from a motorcycle. As we diagnosed him with open fracture of the right femur with leg ischemia, we performed revascularization of injured popliteal artery and treated the leg. The pathological findings showed fragmentation...

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Bibliographic Details
Published in:Acute medicine & surgery 2016-07, Vol.3 (3), p.276-278
Main Authors: Nishimura, Kengo, Hamasaki, Takafumi, Ohno, Takashi, Nishihara, Akihiko, Ito, Hisao, Ishiguro, Shingo
Format: Article
Language:English
Subjects:
Amputation
Angioplasty
Apoptosis
Blood pressure
Catheters
Collagen
Diabetes
Injuries
Ischemia
Laboratories
Patients
Thrombosis
Tomography
Trauma
Ultrasonic imaging
Veins & arteries
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Summary:CaseA 45‐year‐old man was brought to our hospital in pre‐shock after falling from a motorcycle. As we diagnosed him with open fracture of the right femur with leg ischemia, we performed revascularization of injured popliteal artery and treated the leg. The pathological findings showed fragmentation and decrease of elastic fibers and fragmentation of collagen fibers, but no inflammatory cells or intimal hyperplasia, and no dissection.OutcomeUnfortunately, amputation had to be carried out on the 29th postoperative day due to infection and leg dysfunction. The postoperative course was uneventful. The patient could walk with an artificial leg and was discharged approximately 5 months after popliteal artery replacement.ConclusionsWe report a case of revascularization involving a patient with open fracture of the right femur due to acute blunt popliteal artery injury.
ISSN:2052-8817
DOI:10.1002/ams2.160