Sato M, Yoshida T, Hayashibe Y, Goto K, Maemura T, Konno S
Department of Cardiovascular Surgery, Hiroo General Hospital, Tokyo, Japan.
Nihon Geka Gakkai Zasshi. 1993 Dec;94(12):1313-6.
Blunt trauma to common femoral artery is rare, and it is frequently unrecognized. A 61-year-old man who fell while carrying a log and struck on his right groin, presented right leg edema and intermittent claudication one month later. Both right femoral arterial and venous occlusion was suspected by Doppler flowmeter, confirmed by venography and arteriography which showed concomitant external iliac arterial occlusion. He underwent prosthetic bypass grafting from common iliac artery to common femoral artery and embolectomy of femoral vein. Circulation to the right leg was restored, but postphlebitic syndrome had remained which was ameliorated by wearing the elastic stocking.
股总动脉钝性创伤罕见,且常未被识别。一名61岁男性在扛原木时摔倒,右腹股沟着地,1个月后出现右下肢水肿和间歇性跛行。多普勒流量计怀疑右侧股动静脉均闭塞,静脉造影和动脉造影证实了这一点,显示髂外动脉同时闭塞。他接受了从髂总动脉到股总动脉的人工血管搭桥术和股静脉取栓术。右下肢血液循环得以恢复,但仍遗留静脉炎后综合征,通过穿弹力袜症状有所改善。