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Combined popliteal artery pseudoaneurysm and arteriovenous fistula following gunshot injury to the thigh. Case report

Grzegorz Halena, Lukasz Znaniecki, Czeslaw Kwiatkowski

Am J Case Rep 2008; 9:107-109

ID: 828546

Available online:

Published: 2008-02-19

Background: Gunshot vascular injuries, typical for military conflicts in the past, are encountered in civilian practice with increased frequency.
Case Report: A 23-year-old male was admitted to the vascular surgery department because of a pulsatile popliteal mass on the right, resulting from a gunshot injury sustained 2 months before admission. Additionally to the popliteal artery aneurysm, the presence of an arteriovenous fistula was demonstrated on angiography. A successful surgical repair was performed, however, four years after operation, a mild fixed flexion deformity of the knee still persists. The paper discusses treatment, diagnosis and late sequelae of popliteal artery injury.
Conclusions: Delayed treatment of misdiagnosed popliteal vascular injuries results in chronic disability, despite technically successful surgical repair.

Keywords: popliteal artery injury, gushot injury, arterio-venous fistula, pseudoaneurysm, fixed flexion deformity