Pseudoaneurysm discovered during reverse radial forearm flap after a gunshot injury

Gunshots cause injury on the vascular wall by phsical forces and thermal effect. These injuries are minor intimal damage, complete or partial transaction of the vessel, arteriovenoous fistula and pseudoaneurysm. In this article we report a pseudoaneursym case, at a gunshot wound on right hand planned to repair by reverse radial forearm flap for to cover the defect occured at the ipsilateral dorsum of the right hand, which was suspected on CT angiography but missed out preoperatively and seen in surgery during exploration and reparied.

Pseudoaneurysm discovered during reverse radial forearm flap after a gunshot injury

Gunshots cause injury on the vascular wall by phsical forces and thermal effect. These injuries are minor intimal damage, complete or partial transaction of the vessel, arteriovenoous fistula and pseudoaneurysm. In this article we report a pseudoaneursym case, at a gunshot wound on right hand planned to repair by reverse radial forearm flap for to cover the defect occured at the ipsilateral dorsum of the right hand, which was suspected on CT angiography but missed out preoperatively and seen in surgery during exploration and reparied.

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  • Clouse, W.D., Rasmussen T.E., Eliason P.M.A ,JL, C.M.W., Bowser, A.N., Jenkins, D.H. Smith, D.L., Rich, N.M. In- theather management of vascular injury: 2 years of Balad vascular registry. J. Am Coll Surg . 2007; 204:625-32.
  • Borman KR, Snyder WH III, Weigelt JA. Civilian arterial trauma of upper extremity: An 11 years experience in 267 patients. Am J Surg. 1984; 148:796-9.
  • Van Alphen JC, Niekus HT, Koning J, Jansen WB. False aneurysm of common carotid artery and injury of the brachial plexus due to trauma inflicted by an air gun pellet. J Trauma 1996 Dec;41(6): 1044-6.
  • Fleiter TR, Mervis S. The role of 3D-CTA in the assessment of peripheral vascular lesion in trauma patient. Eu. J Radiol. 2007;64; 92-102.
  • Miller- Thomas MM, West OC, Cohen AM. Diagnosing traumatic arterial injury in the extremities with Ct angiography: pearls and pitfalls, Radiographics. 2005;25 S(1)133-142.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
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