Castillo DS, Martín JN, Bestard TG, Álvarez CY, Fernández BM

Language: Spanish
References: 7
Page:
PDF size: 201.36 Kb.

ABSTRACT

Vascular trauma is on the increase. The occurrence of stabbings and gunshot wounds has gradually risen as a result of the spread of violence. A case is presented of humeral artery trauma, its diagnosis and treatment, in a male 28-year-old patient polytraumatized in a traffic accident, with multiple fractures at the level of the pelvis, clavicle and several ribs, and an 8 cm wound on the inner side of the right arm, on its upper third, with a large hematoma. An anfractuous wound was found on the inner side of the arm, as well as cyanosis of the hand and lower third of the forearm. Palpation revealed an absence of radial, cubital and humeral pulse, as well as hand coldness and a decrease in muscular strength. Arterial Doppler echo showed a significant flow decrease below the injured area. Exploration of the vascular tract revealed a thrombus occluding the lumen of the humeral artery with a lesion of the intima. A thrombectomy was performed with placement of an arterial prosthesis, as a result of which pulse was recovered. A favorable evolution followed. Successful management of arterial trauma depends on its early diagnosis and timely treatment.

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