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CASE REPORT   

Chirurgia 2022 June;35(3):191-3

DOI: 10.23736/S0394-9508.21.05323-7

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Popliteal artery injury repair in a mangled extremity

Chrysanthi P. PAPAGEORGOPOULOU , Konstantinos M. NIKOLAKOPOULOS, Spyros I. PAPADOULAS

Department of Vascular Surgery, University Hospital of Patras, Patras, Greece



Extremity vascular injury can be the result of both blunt and penetrating trauma in nearly equal frequency. Amputation rates in patients with extremity vascular injury range between 7% and 30%, according to the mechanism of the injury; however, amputation rate is much more common when the popliteal level in the lower extremity is involved. The rapid diagnosis and localization of the level of the vascular injury is of great importance for the evaluation and the prognosis of the patient. When the patient presents with “hard signs” of vascular injury, the presence and the level of the injury is obvious, and the next step is operative exploration and repair. The diagnosis becomes challenging, when the patient presents only with “soft signs” of vascular injury and additional diagnostic testing is required. With this case report, we describe a complicated trauma case of a male patient, who was presented with acute limb ischemia due to penetrating trauma of the popliteal artery with associated tissue injuries. Open surgical control and repair remain the cornerstones of the management of most extremity vascular injuries.


KEY WORDS: Ischemia; Vascular system injuries; Popliteal artery; Case reports

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