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Vascular Trauma

November 28, 2012
Anal Necrosis Following Pelvic Crush Injury

Julia Greene,

Arterial haemorrhage within the pelvic circulation can be controlled by nonselective embolization. However, complications are associated with distal ischemia from disruption of the aortoiliac circulation. Reported complications of pelvic crush injury include impotence, lower extremity nerve deficits, left colon ischemia, spinal cord injury, and necrosis of the rectum and gluteal musculature. We report a case of anal canal necrosis after a pelvic crush injury attributed to hypotension, compression by pelvic hematoma, and arterial disruption after selective unilateral transcatheter arterial embolization (TAE).

August 04, 2011
Post traumatic intraorbital arteriovenous fistula

payman Moharamzadeh, Tabriz University of Medical Sciences-Imam Reza Ho,

A patient with a history of previous closed head injury presented with chemosis, proptosis and conjunctival injection of the right eye. CT showed a dilated superior ophthalmic vein suggesting the presence of a carotid–cavernous sinus fistula.

December 26, 2010
Bilateral lower extremity gunshot wound with arterial and venous injury

sam zeraatian nejad davani,

20 years old man after civilian gunshot wound, arrived in our emergency department with profound shock and ongoing bleeding from gunshot wounds to both thighs.

August 21, 2010
Aortic Dissection in Blunt Trauma

Tiffany Frederickson, MD,

A patient involved in a car accident causing his vehicle to roll, sustained an aortic dissection just distal to the renal arteries requiring open aortic grafting to repair it.

August 04, 2009
Venous laceration to lower limb without fasciotomy

Denis Allard, GF Jooste hospital Manenberg,

Trauma surgeons deal rarely with isolated penetrating venous injuries to the lower limbs due to the proximity of the vein-arterial complex. The limb remains vascularized but intensely swollen and a fasciotomy must be considered. Inserting a 'drip line' into both severed ends permits immediate venous return and improves the venous hypertension to the point where a fasciotomy can be avoided. This 'damage control' act does allow one to come back a day later and to reestablish continuity with any interposition graft available. The contralateral long saphenous is first choice, a synthetic graft second, a ligature and fasciotomy third choice.

July 10, 2007
Gunshot to Carotid Artery

Herb Phelan, Parkland Memorial Hospital, Dallas, TX, USA,

A gunshot wound to the left neck, disrupting the internal and external carotid arteries.  Operative repair with reversed vein graft.

January 08, 2007
Superficial Femoral Artery Impalement.  Arterial Shunt

Karim Brohi, London, UK,

A combined femur fracture and superficial femoral artery impalement injury managed with temporary shunting to restore flow before fracture fixation and definitive repair.

November 28, 2006
Angiographic Coiling for Pelvic Haemorrhage


Angiographic Coiling for Pelvic Haemorrhage

Karim Brohi

London, England

Case Presentation
A 47 year old man is brought to the trauma centre having had a wall collapse…

October 16, 2005
Infrahepatic Inferior Vena Cava injury


Gunshot wound to the abdomen, with injury to the lateral wall of the infrahepatic inferior vena cava.  The IVC was accessed through a right medial visceral rotation and a lateral repair performed.