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[What is behind a wound?- case report].

Stanislava Laginja1, Jasmina Seremet2, Marin Marinović3

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Chronic lower limb wounds often stem from venous insufficiency. Correctly diagnosing and treating this underlying cause is crucial for healing, even after decades of misdiagnosis.

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Area of Science:

  • Vascular Surgery
  • Dermatology
  • Wound Care

Background:

  • Chronic wounds, defined as those not healing within 4-8 weeks, pose significant clinical challenges.
  • Tissue ischemia and infection are primary contributing factors to chronic wound development.
  • Lower limb chronic wounds are frequently a manifestation of underlying chronic venous insufficiency, affecting up to 80% of cases.

Observation:

  • A case study involving a chronic lower limb wound initially misdiagnosed and treated as a post-traumatic war wound is presented.
  • The wound persisted for nearly 20 years due to the incorrect diagnosis and treatment approach.

Findings:

  • Upon accurate diagnosis, the chronic lower limb wound was identified as stemming from chronic venous insufficiency.
  • Implementing appropriate treatment for chronic venous insufficiency led to the successful healing of the long-standing wound.

Implications:

  • This case highlights the critical importance of thoroughly evaluating for chronic venous insufficiency in all chronic lower limb wounds.
  • Early and accurate diagnosis of venous insufficiency is essential for effective wound management and successful patient outcomes.
  • Misdiagnosis can lead to prolonged suffering and delayed healing, emphasizing the need for comprehensive diagnostic protocols.