Fluctuating pulse deficits associated with intimal arterial injury following gunshot wounds of the extremity--a sign not to be missed.
S Afr J Surg
; 43(1): 22-4, 2005 Feb.
Article
en En
| MEDLINE
| ID: mdl-15887422
ABSTRACT
Gunshot wounds may result in intimal arterial injury without breach of the arterial wall integrity. Haemorrhage, haematoma and a pulse deficit are therefore not always found. We report on two cases of lower extremity gunshot wounds with temporal variations in the clinical and radiological assessment of the pedal pulses. In both cases surgical exploration revealed intact arterial vessel walls but significant intimal injury with overlying thrombus. We propose that the pulse deficits were due to distal thromboembolism. Subsequent clot lysis led to a return of the original pulse deficit. Variation in the distal pulses in patients with gunshot wounds of the extremities should alert one of the possibility of an intimal arterial injury; imaging of the vessels is therefore advised.
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Banco de datos:
MEDLINE
Asunto principal:
Arteria Poplítea
/
Vena Poplítea
/
Pulso Arterial
/
Heridas por Arma de Fuego
/
Túnica Íntima
/
Vena Femoral
Tipo de estudio:
Risk_factors_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
S Afr J Surg
Año:
2005
Tipo del documento:
Article