Citation

Rezvani M. Arch. Trauma Res. 2014; 3(1): e15575.

Affiliation

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

Copyright

(Copyright © 2014, Kowsar Publishing)

DOI

10.5812/atr.15575

PMID

25032168

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.

Language: en