Dharia Rahil, Perinjelil Vinu, Nallani Rohit, Daoud Fadi Al, Sachwani-Daswani Gul, Mercer Leo, Wong Kristoffer
Hurley Plaza, 7B Trauma Services, Flint, MI, USA.
J Surg Case Rep. 2018 Jun 23;2018(6):rjy137. doi: 10.1093/jscr/rjy137. eCollection 2018 Jun.
We describe a patient who sustained a penetrating injury to the posterior right lower extremity just above the popliteal region with transection of the superficial femoral artery (SFA) despite minimal evidence of active bleeding. An on-table angiogram identified flow in the SFA followed by the popliteal artery and into the trifurcation of the right lower extremity. Eventually, a second operation revealed transection followed by end-to-end anastomosis of SFA and stabilization of the patient. The findings of this case highlight the need for a high index of suspicion and persistent clinical investigation to identify vascular injuries in the absence of hard signs of vascular trauma.
我们描述了一名患者，其右下肢后侧腘窝上方遭受穿透伤，股浅动脉（SFA）横断，尽管活动性出血迹象不明显。术中血管造影显示SFA有血流，随后是腘动脉，并进入右下肢的三叉分支。最终，二次手术发现SFA横断，随后进行了SFA端端吻合，并使患者病情稳定。该病例的发现强调了在缺乏血管创伤确凿体征的情况下，需要高度怀疑并持续进行临床检查以识别血管损伤。
