Display options
Cite
de Vasconcelos JF, Martins V, Brandão D, et al. Acute ischemia of the lower limb after injury by gunshot: case report and review of literature. Eur J Trauma Emerg Surg. 2010;37(1):53-9doi: 10.1007/s00068-010-0035-8.
de Vasconcelos, J. F., Martins, V., Brandão, D., Maia, M., Ferreira, J., Braga, S., Rios, L., Costa, H., & Vaz, A. G. (2011). Acute ischemia of the lower limb after injury by gunshot: case report and review of literature. European journal of trauma and emergency surgery : official publication of the European Trauma Society, 37(1), 53-9. https://doi.org/10.1007/s00068-010-0035-8
de Vasconcelos, J F C, et al. "Acute ischemia of the lower limb after injury by gunshot: case report and review of literature." European journal of trauma and emergency surgery : official publication of the European Trauma Society vol. 37,1 (2011): 53-9. doi: https://doi.org/10.1007/s00068-010-0035-8
de Vasconcelos JF, Martins V, Brandão D, Maia M, Ferreira J, Braga S, Rios L, Costa H, Vaz AG. Acute ischemia of the lower limb after injury by gunshot: case report and review of literature. Eur J Trauma Emerg Surg. 2011 Feb;37(1):53-9. doi: 10.1007/s00068-010-0035-8. Epub 2010 Jul 10. PMID: 26814751.
Copy Download .nbib Format: NLM
Share it on

Eur J Trauma Emerg Surg. 2011 Feb;37(1):53-9. doi: 10.1007/s00068-010-0035-8. Epub 2010 Jul 10.

Acute ischemia of the lower limb after injury by gunshot: case report and review of literature.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

J F C de Vasconcelos, V Martins, D Brandão, M Maia, J Ferreira, S Braga, L Rios, H Costa, A G Vaz

Affiliations

  1. Angiology and Vascular Surgery Department, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, Portugal. [email protected].
  2. Rua Dr. Eduardo Santos Silva, no. 338, 2º Centro-Frente, 4200-280, Porto, Portugal. [email protected].
  3. Angiology and Vascular Surgery Department, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, Portugal.
  4. Plastic, Reconstructive, Maxillofacial and Microsurgery Department, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, Portugal.

PMID: 26814751 DOI: 10.1007/s00068-010-0035-8

Abstract

INTRODUCTION: Civilian and military vascular trauma has evolved dramatically. It is estimated that 80% of all cases of vascular injuries are due to peripheral vascular trauma, most involving the lower extremities. Arterial below-knee injuries by gunshot still remain a challenge, with an associated rate of amputation of 20-54%.

MATERIAL AND METHODS: This case reports a 48 year-old male patient who sustained a gunshot below his left knee. At hospital admission, loss of substance and hemorrhage at the medial and lateral faces of the upper third of his left leg were present with signs of distal ischemia. Arteriography revealed infra-popliteal arterial lesions of the three arterial axes. Two reversed great saphenous vein interposition grafts were performed into the anterior and posterior tibial arteries with immediate revascularization of the left leg and foot. Later, soft tissue reconstruction was accomplished by a split-thickness skin graft.

RESULTS: At the fifth month of follow-up, the left leg and foot were viable with good healing, without limitations and with controlled pain. Posterior tibial and dorsalis pedis pulses were palpable.

CONCLUSION: This case report shows the importance of an adequate team approach for treatment of a gunshot extremity injury with vascular lesion. The authors want to highlight the scientific background evidence and the value of comparing worldwide civilian trauma center outcomes, mostly reported previously from the military field.

Keywords: Acute ischemia; Gunshot; Lower limb; Vascular trauma

References

  1. J Trauma. 1994 Mar;36(3):358-68 - PubMed
  2. Perspect Vasc Surg Endovasc Ther. 2006 Jun;18(2):114-29 - PubMed
  3. Ghana Med J. 2007 Dec;41(4):186-9 - PubMed
  4. Inj Prev. 2003 Jun;9(2):156-62 - PubMed
  5. Injury. 1997 Mar;28(2):103-7 - PubMed
  6. Thorac Cardiovasc Surg. 2003 Apr;51(2):67-72 - PubMed
  7. ANZ J Surg. 2001 Aug;71(8):461-6 - PubMed
  8. J Orthop Trauma. 1987;1(2):160-9 - PubMed
  9. Surg Clin North Am. 2002 Feb;82(1):91-104, xx - PubMed
  10. J Vasc Surg. 1993 Jan;17 (1):42-52; discussion 52-3 - PubMed
  11. Ann Surg. 1946 Apr;123(4):534-79 - PubMed
  12. Ann Surg. 1997 May;225(5):518-27; discussion 527-9 - PubMed
  13. J Vasc Surg. 2001 Jun;33(6):1212-9 - PubMed
  14. J Trauma. 2006 Jul;61(1):8-12; discussion 12-5 - PubMed
  15. Am J Surg. 1987 Dec;154(6):681-4 - PubMed
  16. J Vasc Surg. 1988 May;7(5):736-43 - PubMed
  17. J Vasc Surg. 1993 Jan;17 (1):54-64; discussion 64-6 - PubMed
  18. J Trauma. 2006 Oct;61(4):824-30 - PubMed
  19. Int J Epidemiol. 1998 Apr;27(2):214-21 - PubMed
  20. Surg Clin North Am. 2002 Feb;82(1):175-88 - PubMed
  21. Ulus Travma Acil Cerrahi Derg. 2009 Sep;15(5):448-52 - PubMed
  22. J Vasc Surg. 2005 Apr;41(4):638-44 - PubMed
  23. Injury. 2008 Nov;39(11):1295-303 - PubMed
  24. Resuscitation. 2007 Nov;75(2):286-97 - PubMed
  25. Ann Surg. 1958 Apr;147(4):555-61 - PubMed
  26. Scand J Surg. 2006;95(1):49-54 - PubMed
  27. Eur J Vasc Endovasc Surg. 2008 Feb;35(2):131-8 - PubMed
  28. Injury. 2008 Jun;39(6):686-95 - PubMed
  29. Eur J Vasc Surg. 1990 Apr;4(2):117-21 - PubMed
  30. J Trauma. 2008 May;64(5):1169-76; discussion 1176 - PubMed
  31. Injury. 2005 Mar;36(3):407-11 - PubMed
  32. Eur J Vasc Endovasc Surg. 1997 Dec;14(6):468-74 - PubMed

Publication Types