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Bilateral popliteal arteriovenous fistulas
The Journal of Trauma
|May 1, 1987
Summary
A rare case of bilateral popliteal arteriovenous fistulas, caused by gunshot wounds, was diagnosed using arteriography. Prompt diagnosis is crucial for managing these vascular injuries.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Diagnostic Imaging
Background:
- Arteriovenous fistulas (AVFs) can arise from penetrating trauma.
- Popliteal artery injuries are serious and can lead to limb-threatening complications.
Observation:
- A patient presented with right leg swelling and discomfort one month post-trauma.
- The patient had sustained multiple gunshot wounds to both legs.
- The left leg remained asymptomatic.
Findings:
- Arteriography revealed bilateral popliteal arteriovenous fistulas.
- The fistulas were located in both popliteal arteries.
Implications:
- This case highlights the potential for delayed presentation of AVFs after trauma.
- A high index of suspicion is essential for diagnosing popliteal arteriovenous fistulas.
- Early diagnosis and intervention are critical for preventing complications such as limb ischemia or heart failure.
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