Annals of medicine and surgery (2012) · 2023
External iliac artery thrombosis as a result of acetabular fixation through the ilioinguinal approach: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Hadavi Dorsa, Shahbazi Parmida, Gholami Niloofar, Hajialigol Amirhossein, Azarsina Salman
Аннотация
INTRODUCTION AND IMPORTANCE: Acetabular fractures mostly occur in young people who are involved in high-energy trauma and they are treated by orthopedic trauma surgeons. Patients with acetabular fractures are at high risk for different kinds of complications. We report a case of postoperative thrombosis of the external iliac artery following fixation surgery performed by an ilioinguinal approach while receiving thromboprophylaxis during admission to the hospital.
CASE PRESENTATION: A 57-year-old healthy woman presented with a left both-column acetabular fracture and underwent acetabular fixation through the ilioinguinal approach. The patient was receiving antithrombotic prophylaxis medications in the course of treatment.
CLINICAL DISCUSSION: During her convalescence, while at the hospital, she was diagnosed with left external iliac artery thrombosis, needing surgical thrombectomy. These severe and rare complications will lead to uncertainty about a commonly used ilioinguinal approach. Postoperative arterial thrombosis may be rare in patients undergoing acetabular fixation surgery but searching for signs and symptoms of this condition is always necessary.
CONCLUSION: It is possible to prevent severe complications by performing a routine measurement of the distal arterial pressure after similar surgeries.
CASE PRESENTATION: A 57-year-old healthy woman presented with a left both-column acetabular fracture and underwent acetabular fixation through the ilioinguinal approach. The patient was receiving antithrombotic prophylaxis medications in the course of treatment.
CLINICAL DISCUSSION: During her convalescence, while at the hospital, she was diagnosed with left external iliac artery thrombosis, needing surgical thrombectomy. These severe and rare complications will lead to uncertainty about a commonly used ilioinguinal approach. Postoperative arterial thrombosis may be rare in patients undergoing acetabular fixation surgery but searching for signs and symptoms of this condition is always necessary.
CONCLUSION: It is possible to prevent severe complications by performing a routine measurement of the distal arterial pressure after similar surgeries.