Trauma vascular de extremidad superior: presentación de un caso y revisión de la literatura / Upper extremity vascular trauma: a case report and literature review
Rev. méd. Maule
;
34(2): 14-17, dic. 2019. ilus
Artículo
en Español
| LILACS
| ID: biblio-1371190
ABSTRACT
INTRODUCTION:
Vascular trauma is a low frequency event and is related to a high burden of morbidity and mortality. Vascular trauma of the upper limb is of different etiology. More frequent, secondary to closed trauma. It is usually associated with other lesions, soft tissue and nerves.OBJECTIVES:
To present a case of complex vascular trauma of the upper limb and its multidisciplinary management.METHOD:
Description of the clinical case and literature review. The information was obtained from the patient's clinical record, review and analysis of the published literature was performed using search engines. CASE REPORT Young man, fall with upper limb in extension, results in elbow dislocation associated with acute ischemia. AngioTAC confirms stop in brachial. Emergency surgery brachio-radial saphenous bridge. It evolves with absence of pulses. It is reexplored finding incomplete fasciotomy, brachial artery bridge to cephalic vein with inverted saphenous. Elbow dislocated, unstable. Arterial bridge, external fixation and fasciotomy is completed. Coming out with radial pulse. He undergoes multiple surgeries and surgical toilets, achieving skin closure at 45 days. Then traumatology removes external tutors. Electromyography confirms incomplete lesion of median, radial and ulnar. Currently in the process of rehabilitation. DISCUSSION ANDCONCLUSION:
Vascular trauma of the upper limb is of low incidence. However, they are associated with a high burden of morbidity and mortality, generally occurring in young men. The diagnostic pillar is through the medical history and physical examination. its surgical management.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Arterias
/
Extremidad Superior
/
Lesiones del Sistema Vascular
Límite:
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Maule
Asunto de la revista:
Medicina
Año:
2019
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Hospital Regional de Talca/CL
/
Universidad Católica del Norte/CL
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