Prague Med. Rep. 2015, 116, 239-243
https://doi.org/10.14712/23362936.2015.64
Acute Digital Ischemia Associated with Closed Injury
David Janák1,2, David Ručka
3, Jaroslav Kudlička
4, Vilém Rohn
1, Jaroslav Lindner
1, Otomar Kittnar
2
12nd Department of Surgery – Department of Cardiovascular Surgery, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic
2Institute of Physiology, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
32nd Department of Medicine – Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic
43rd Department of Medicine – Department of Endocrinology and Metabolism, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic
Received May 11, 2015
Accepted September 15, 2015
Injury of an artery has a significantly worse prognosis for the patient than a venous injury. Blunt injuries of lower limb digital arteries with the development of acute ischemia present a very rare phenomenon. A crush mechanism with a defect of the non-wetted surface of vessel’s inner part and the development of subsequent thromboischemic lesion is essential for the development of ischemia. We report a blunt injury of the right lower limb in a patient after incorrect stepping with subsequent lesion of digital arteries and the development of acute acral ischemia of the right toes.
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Published by the Karolinum Press. For permission to use please write to medical.report@lf1.cuni.cz.
