Toro-Pape Franz, Kumaev Boris, Jenson Matthew, Matteo Jerry
Department of Radiology, University of Florida College of Medicine, Jacksonville, USA.
Department of Interventional Radiology, University of Florida College of Medicine, Jacksonville, USA.
Cureus. 2018 Apr 26;10(4):e2541. doi: 10.7759/cureus.2541.
A 16-year-old male was transferred to our institution shortly after a gunshot injury to the right lower extremity. Physical examination was remarkable for two bullet entry points in the right posterior leg. A right lower extremity computed tomography angiogram (CTA) demonstrated a retained bullet fragment in the right popliteal fossa and a 10 centimeter (cm) in length occlusion of the proximal peroneal artery with reconstitution of flow distally. A diagnostic angiogram of the right lower extremity with the patient's leg extended demonstrated lack of popliteal arterial flow immediately distal to the retained bullet fragment. Reconstitution of vascular flow was appreciated once the patient's leg was placed in the "frog-leg" position.
一名16岁男性在右下肢遭受枪伤后不久被转至我院。体格检查发现右小腿后侧有两个子弹入口点。右下肢计算机断层血管造影（CTA）显示右腘窝有一枚残留子弹碎片，腓总动脉近端有一段10厘米长的闭塞，远端血流重建。在患者腿部伸直的情况下进行的右下肢诊断性血管造影显示，残留子弹碎片远端的腘动脉立即无血流。当患者腿部置于“蛙腿”位时，可看到血管血流重建。
