Acute Digital Ischemia Associated with Closed Injury

Prague Med Rep. 2015;116(3):239-43. doi: 10.14712/23362936.2015.64.

Abstract

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.

Keywords: Closed injury; Ischemia; Trombolysis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angiography
  • Foot Injuries / complications*
  • Foot Injuries / diagnostic imaging
  • Humans
  • Ischemia / diagnostic imaging
  • Ischemia / etiology*
  • Male
  • Toes / blood supply*
  • Toes / diagnostic imaging
  • Vascular System Injuries / complications*
  • Vascular System Injuries / diagnostic imaging
  • Wounds, Nonpenetrating / complications*
  • Wounds, Nonpenetrating / diagnostic imaging