Limb salvage after delayed diagnosis for blunt traumatic infrapopliteal occlusion.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20570464.
- Also identified by DOI 10.1016/j.jvs.2010.03.065.
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Abstract
Infrapopliteal occlusion is uncommon after blunt trauma, and limb salvage after delayed diagnosis is even rarer. We present the case of a 56-year-old man who had complex lower leg orthopedic fractures along with a reportedly normal pulse examination with an 11-day diagnostic delay of limb-threatening ischemia requiring distal revascularization. This case illustrates an incidence of delayed infrapopliteal three-vessel occlusion with successful revascularization and subsequent endovascular management to maintain patency. We describe the workup and treatment of delayed infrapopliteal occlusion and a review of the current literature on this topic.
Medical subject headings
- Arterial Occlusive Diseases
- Delayed Diagnosis
- Ischemia
- Limb Salvage
- Saphenous Vein
- Tibial Arteries
- Wounds, Nonpenetrating