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Traumatic false aneurysms in Port Moresby.

T Haina1, P Ponifasio, O J Jacob

  • 1Department of Clinical Sciences, University of Papua New Guinea, Port Moresby.

Papua and New Guinea Medical Journal
|June 29, 2001
PubMed
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Traumatic false aneurysms are a common complication of vascular injuries in Port Moresby, often presenting late. Early clinical diagnosis and surgical intervention lead to good outcomes with no deaths or amputations.

Area of Science:

  • Vascular Surgery
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Trauma accounts for 30% of surgical admissions in Port Moresby.
  • Vascular injuries are often missed, leading to late presentation of complex false aneurysms.
  • This study aimed to identify morbidity patterns of traumatic false aneurysms in Port Moresby General Hospital.

Purpose of the Study:

  • To identify patterns of morbidity associated with traumatic false aneurysms.
  • To analyze the management and outcomes of vascular injuries presenting as false aneurysms.
  • To highlight diagnostic and treatment challenges in a resource-limited setting.

Main Methods:

  • A surgical database of 11,004 records was utilized.
  • Patient charts with diagnoses of false aneurysm, gunshot wounds, knife wounds, and compound fractures were reviewed.

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  • Data collected included injury type, affected site, time to presentation, clinical signs, and treatment modalities.

    • Main Results:

    • 21 patients with traumatic false aneurysms were identified between 1995 and 1999.
    • Stab wounds were the most common cause (50%), predominantly affecting the calf (42%).
    • Most patients presented with hard signs (94%), were treated within five days (81%), and underwent ligation (67%); no deaths or amputations occurred.

    Conclusions:

    • False aneurysms are a significant complication of vascular injuries.
    • Increased awareness and prompt clinical assessment are crucial for early diagnosis.
    • Despite delayed presentation in some cases, surgical management yields favorable outcomes.