Document Detail

Complete femoral artery and vein avulsion from a hyperextension injury: a case report and literature review.
MedLine Citation:
PMID:  18619776     Owner:  NLM     Status:  MEDLINE    
Blunt peripheral extremity vascular injuries are much less frequent than those of penetrating injuries, especially in the absence of significant musculoskeletal trauma. We present an unusual case of complete femoral artery and vein avulsion that resulted from a forced hip hyperextension and thigh abduction after slipping when a patient's foot became entrapped in a ladder. The patient presented with an acutely ischemic right lower extremity 8 hr postinjury, which necessitated immediate surgical exploration, temporary intravascular shunting, interposition grafting, and prophylactic fasciotomy. To our knowledge, this is the first such mechanism to be reported resulting in complete transection of both femoral artery and vein. We review the mechanism of injury and management.
Ahmed Suliman; Mir Wasif Ali; Nikhil Kansal; Ying Tian; Niren Angle; Raul Coimbra
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2008-07-10
Journal Detail:
Title:  Annals of vascular surgery     Volume:  23     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-05-11     Completed Date:  2009-07-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  411.e9-15     Citation Subset:  IM    
Department of Surgery, University of California, San Diego School of Medicine, UCSD Medical Center, San Diego, CA 92103-8896, USA.
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MeSH Terms
Child, Preschool
Fascia / surgery
Femoral Artery / injuries*,  radiography,  surgery
Femoral Vein / injuries*,  radiography,  surgery
Ischemia / etiology*,  radiography,  surgery
Middle Aged
Musculoskeletal Diseases / complications*
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures
Wounds, Nonpenetrating / etiology*,  radiography,  surgery
Young Adult

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