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Late vascular complication after blunt trauma.

A Záborszky¹, A Barabás, A August

¹3rd Department of Surgery, Semmelweis University Medical School, Budapest, Hungary.

Acta Chirurgica Hungarica

|January 1, 1992

Summary

Blunt trauma, like a fractured clavicle, can lead to delayed vascular complications such as axillary vein thrombosis and hand embolization. Early recognition and awareness are crucial for managing these late-onset vascular issues.

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Area of Science:

Trauma surgery
Vascular surgery
Emergency medicine

Background:

Road traffic accidents can cause significant blunt force trauma.
Fractures, such as clavicle fractures, are common injuries resulting from trauma.
Vascular complications can arise even after initial uneventful recovery from trauma.

Observation:

A patient with a left clavicle fracture sustained from a road traffic accident developed axillary vein thrombosis.
The thrombosis occurred three months post-trauma, despite an initially uncomplicated recovery.
One year later, the patient experienced embolization of the left hand.

Findings:

The hand embolization was attributed to an intimal tear with an attached thrombus.
Surgical excision of the intimal tear and thrombus was successfully performed.
This case highlights the potential for delayed-onset vascular complications following blunt trauma.

Implications:

Clinicians must maintain a high index of suspicion for late vascular complications after blunt trauma.
Awareness of potential delayed vascular sequelae is critical for patient management.
Prompt diagnosis and intervention can improve outcomes for patients experiencing post-traumatic vascular events.

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