Skip to main content
Log in

Endovascular Management of a Peroneal Artery Injury Due to a Military Fragment Wound

  • Case Report
  • Published:
Annals of Vascular Surgery

Abstract

A healthy 29-year-old male suffered bilateral lower extremity fragment wounds resulting in a tense right calf shortly following a wound that required a four-compartment fasciotomy. During treatment of other injuries after medical evacuation he complained of increasing right calf pain. A peroneal pseudoaneurysm (PSA) with a concomitant arteriovenous fistula (AVF) was diagnosed. The distal one-third of the peroneal artery was not visualized, and the posterior tibial and anterior tibial arteries were normal. The patient underwent percutaneous coil embolization of the pseudoaneurysm. Completion arteriography demonstrated no evidence of the PSA and AVF. The patient’s bruit and pain resolved.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1
Figure 2
Figure 3
Figure 4

References

  1. NM Rich CW Hughes (1969) ArticleTitleVietnam vascular registry: a preliminary report. Surgery 65 218–226 Occurrence Handle1:STN:280:CCaD1cvksFE%3D Occurrence Handle5762414

    CAS  PubMed  Google Scholar 

  2. NM Rich RW Hobson GJ Collins (1975) ArticleTitleTraumatic AVF and false aneurysms: a review of 558 lesions. Surgery 78 817–828 Occurrence Handle1:STN:280:CSmD2Mrls1c%3D Occurrence Handle1188624

    CAS  PubMed  Google Scholar 

  3. CS Norris R Zlotnick WE Silva HB Wheeler (1986) ArticleTitleTraumatic PSA following blunt trauma. J Trauma 26 480–482 Occurrence Handle1:STN:280:BimB3c%2Fislw%3D Occurrence Handle3701900

    CAS  PubMed  Google Scholar 

  4. A Wielenberg MA Borge TC Demos L Lomasney G Marra (2000) ArticleTitleTraumatic PSA of the brachial artery. Orthopedics 23 1250 Occurrence Handle1:STN:280:DC%2BD3M7ptVOhtw%3D%3D Occurrence Handle11144492

    CAS  PubMed  Google Scholar 

  5. AT Yilmaz M Arslan U Demirkilic et al. (1997) ArticleTitleMissed arterial injuries in military patients. Am J Surg 173 110–114 Occurrence Handle10.1016/S0002-9610(96)00423-0 Occurrence Handle1:STN:280:ByiB38fivFI%3D Occurrence Handle9074374

    Article  CAS  PubMed  Google Scholar 

  6. MR Jackson ML Brengman NM Rich (1997) ArticleTitleDelayed presentation of 50 years after a World War II vascular injury with intraoperative localization by duplex ultrasound of a traumatic false aneurysm. J Trauma 43 159–161 Occurrence Handle1:STN:280:ByiA1MrpsVI%3D Occurrence Handle9253933

    CAS  PubMed  Google Scholar 

  7. CA Johnson DF Tollefson SB Olsen (2000) ArticleTitleFragment wound PSA presenting 54 years after injury. Curr Surg 57 600–602 Occurrence Handle10.1016/S0149-7944(00)00398-6 Occurrence Handle11120305

    Article  PubMed  Google Scholar 

  8. A Vasilakis RJ Jackson GE Rozar GF Murray (1990) ArticleTitleRevascularization of a symptomatic PSA of the anterior tibial artery. Am Surg 56 209–213 Occurrence Handle1:STN:280:By%2BA3c3pt1E%3D Occurrence Handle2194411

    CAS  PubMed  Google Scholar 

  9. FLM Peeters JG Kromhout JA Reekers PA Koster (1991) ArticleTitleTreatment of solitary AVF. Surgery 109 220–225 Occurrence Handle1:STN:280:By6C38nmt1Q%3D Occurrence Handle1992554

    CAS  PubMed  Google Scholar 

  10. J McIvor PS Treweeke (1988) ArticleTitleCase report: direct percutaneous embolization of a false aneurysm with steel coils. Clin Radiol 39 205–207 Occurrence Handle3356102

    PubMed  Google Scholar 

  11. H Edwards E Martin R Nowygrod (1982) ArticleTitleNonoperative management of a traumatic peroneal artery false aneurysm. J Trauma 22 323–326 Occurrence Handle1:STN:280:Bi2C1M3kvVQ%3D Occurrence Handle7077689

    CAS  PubMed  Google Scholar 

  12. N Toyota F Kimura S Yoshida et al. (1999) ArticleTitlePeroneal artery aneurysm treated by transcatheter coil embolization and temporary balloon occlusion in Behcet’s disease. Cardiovasc Intervent Radiol 22 257–259 Occurrence Handle10.1007/s002709900379 Occurrence Handle1:STN:280:DyaK1MzhtFSksw%3D%3D Occurrence Handle10382062

    Article  CAS  PubMed  Google Scholar 

  13. A Hebrang A Grga B Brkljacic I Drinkovic (2001) ArticleTitleSuccessful closure of large PSA of peroneal artery using transluminal temporary occlusion of the neck with the catheter. Eur Radiol 11 1206–1209 Occurrence Handle10.1007/s003300000708 Occurrence Handle1:STN:280:DC%2BD38%2FitlCrtw%3D%3D Occurrence Handle11471614

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Patricio Rosa MD.

About this article

Cite this article

Rosa, P., O’Donnell, S.D., Goff, J.M. et al. Endovascular Management of a Peroneal Artery Injury Due to a Military Fragment Wound . Ann Vasc Surg 17, 678–681 (2003). https://doi.org/10.1007/s10016-003-0044-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10016-003-0044-8

Navigation