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Injury of the popliteal artery by shrapnel of a Ukrainian girl treated at the University Hospital Ostrava - case report of arterial lesion without acute limb ischemia


Authors: Petr Jelínek 1;  František Jalůvka 1;  Jan Roman 1;  Igor Dudík 2;  Jan Velička 3;  Martin Pieš 3;  Radovan Hájovský 3;  Ján Hrubovčák 1
Published in the journal: Čas. Lék. čes. 2024; 163: 240-243
Category: Case Report

Summary

A popliteal artery injury in a 12-year-old female patient, injured in the war conflict in Ukraine, proved to be serious, requiring surgical treatment, despite seemingly poor symptoms and the absence of subjective difficulties. The presentation of arterial injury without acute limb ischemia was atypical. The clinical picture of the lower limb in the sense of "pulseless pink" based on an arterial lesion is not common, but its underestimation can have permanent consequences for the patient.

Keywords:

popliteal artery, injury,bypass, pulseless pink


Zdroje
  1. Ramdass MJ, Mudeen A et al. Risk factors associated with amputation in civilian popliteal artery trauma. Injury 2018; 49: 1188 p1192.
  2. Nair R, Abdool-Carrim AT, Robbs JV. Gunshot injuries of the popliteal artery. Br J Surg 2000; 87: 602–607.
  3. Harrell DJ, Spain DA. et al. Blunt popliteal artery trauma: a challenging injury. Am Surg 1997; 63: 228–231.
  4. Mullenix PS, Steele SR, Andersen CA et al. Limb salvage and outcomes among patients with traumatic popliteal vascular injury: an analysis of the National Trauma Data Bank. J Vasc Surg 2006; 44: 94–100.
  5. Louahem D, Cottalorda J. Acute ischemia and pink pulseless hand in 68 of 404 gartland type III supracondylar humeral fractures in children: Urgent management and therapeutic consensus. Injury 2016; 47: 848–852.
  6. Delniotis I, Delniotis A. et al. Management of the pediatric pulseless supracondylar humeral fracture: a systematic review and comparison study of “watchful expectancy strategy” versus surgical exploration of the brachial artery. J Trauma Acute Care Surg 2019; 55: 260–271.

  

Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

Článok vyšiel v časopise

Journal of Czech Physicians

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