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Traumatic arteriovenous fistula after kickboxing injury: a case report and review of the literature. | LitMetric

Traumatic arteriovenous fistula after kickboxing injury: a case report and review of the literature.

Arch Trauma Res

Department of Surgery, Abington Memorial Hospital, Abington, Pennsylvania, USA.

Published: March 2014

AI Article Synopsis

  • A 34-year-old male is reported as the first case of a traumatic arteriovenous fistula (AVF) resulting from repetitive blunt trauma.
  • The patient initially presented with a non-healing ulcer near the ankle, which led to treatment for suspected osteomyelitis before an arteriogram revealed the AVF.
  • Following a successful coil embolization procedure, the ulcer healed quickly, indicating that AVF can manifest as a persistent venous stasis ulcer and may be managed without invasive surgery.

Article Abstract

Introduction: A traumatic arteriovenous fistula (AVF) after repetitive blunt trauma has not been described previously. In a 34-year-old male, the first reported case of such an injury after repetitive blunt trauma is described.

Case Presentation: A 34-year-old gentleman presented with a non-healing ulcer near his medial malleolus. A bone scan was performed and then treated for presumed osteomyelitis. An arteriogram confirmed an AVF, and coil embolization was performed with complete occlusion of the AVF. Subsequently, the ulcer healed rapidly with no complication. Along with the cause of AVF, this case is notable for symptom presentation.

Conclusions: Arteriovenous fistula after blunt trauma can present as a non-healing venous stasis ulcer, which could be treated non-invasively.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4080496PMC
http://dx.doi.org/10.5812/atr.15575DOI Listing

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