Nouar Dia Alyonan
A 68-year old man was successfully resuscitated after sudden cardiac arrest. Following this event, the patient developed intestinal ischaemia and necrosis requiring surgical treatment. Our case report investigates the cause of the intestinal ischaemia and warns physicians to be aware of this rare but life-threatening condition.
(Vol 16 p 1-5, Cardiology; Colorectal Surgery; Vascular Disease; Vascular Surgery: 13 April 2016)
Kanwaljit Singh and Chris Pycock
We report the case of a 65-year-old man who we thought was an atypical presentation or a variant of the Klippel-Trenaunay-Weber syndrome. Although it is primarily a disorder of infancy and childhood, it has been reported to present in adulthood also[1,2]. Our case report highlights the need to consider the differential diagnosis of Klippel-Trenaunay-Weber syndrome in...
(Vol 13 p 74-78, General medicine; Vascular medicine; Vascular surgery: 17 December 2013)
Arin L. Madenci, Justin Zaghi, Michael D. Paul and Karen J. Ho
A 60-year-old woman transferred with suspected cauda equina syndrome lacked lower extremity pulses on arrival. She rapidly developed visceral malperfusion due to underlying type B aortic dissection, necessitating aortic fenestration with thrombectomy. Despite misdiagnosis and delayed treatment, she could ambulate 1 year postoperatively. Aortic dissection remains integral...
(Vol 13 p 47-51, Vascular Surgery: 18 June 2013)
Rajesh Rajendran, Humayoun Malik and Tristan Richardson
We report a case of an 85-year-old lady with repeated hospital admissions secondary to presumed urosepsis with blood cultures positive for Escherichia coli. Chest radiographs during the final admission had changed dramatically and computed tomography scan of the aorta confirmed mycotic thoracic aortic aneurysm.
(Vol 12 p 27-31, Emergency Medicine; Infection and immunity; Vascular surgery: 6 August 2012)
Maj Lesbo, Gratien Andersen, Per Hostrup Nielsen, Hans Kristian Pilegaard and Vibeke Elisabeth Hjortdal
We report an unusual case of traumatic aortic rupture and lesion of the left main bronchus after blunt chest trauma in an 8-year-old otherwise healthy boy. The trauma mechanism was severe compression of the thoracic cavity underneath a heavy object without a deceleration component. The visceral lesions were disproportionally severe compared with the surface injury. This...
(Vol 11 p 1-4, Paediatric surgery; Trauma; Vascular Surgery: 25 February 2011)
K.M. Burnand, S. Lagocki, R.P. Lahiri, T.Y. Tang, A.D. Patel and J.M.F. Clarke
Arterial thoracic outlet syndrome (TOS) is a rare vascular abnormality. Its common cause is a cervical rib but it is seldom detected secondary to trauma of the clavicle, particularly in association with surgical repair of a fractured clavicle. An athletic 45-year-old man developed a recurrent ischaemic upper limb after repair to a non-union fractured clavicle. He...
(Vol 10 p 55-58, Vascular surgery: 22 July 2010)
Paul Whittingham-Jones, Irshad Baloch, Jonathan Miles and Barry Ferris
Arterial injury is a rare complication of knee replacement. We present a delayed presentation which was proven with arteriography and successfully treated with embolisation rather than open surgery. In atypical clinical pictures of swelling and equivocal inflammatory markers, clinicians should consider the differential diagnosis of persistent arterial bleeding.
(Vol 10 p 51-54, Orthopaedic surgery; Vascular surgery: 22 July 2010)
Dimitri Aristotle Raptis, Dimitrios Lytras, Amir Darakhshan, James Skipworth, Julian Hague and Duncan Brennand
Lateral abdominal wall haematoma following blunt trauma can be a life-threatening condition and requires prompt diagnosis and treatment. We present the imaging findings and treatment modalities used for a young man presenting to the emergency department with abdominal pain and bruising.
(Vol 9 p 33-37, Accident and Emergency Medicine and Surgery (including Trauma), Radiology, Vascular Surgery: 17 November 2009)
X. Cai, Z. Khalpey, J.D. Gates and E.C. Gravereaux
An 88-year-old woman presented with thrombo-embolic disease of the left upper extremity manifested by the classical signs of pain, paresthesias, pallor, pulselessness, and poikilothermia. She was found to have a thrombo-embolus in the left distal brachial artery as well as two large thrombi in the aortic arch and proximal descending aorta. Initial surgical intervention...
(Vol 8 p 52-56, Vascular medicine; Vascular surgery: 3 December 2008)
Zain Khalpey, Christopher Gross, Tec Chong and Jonathan Gates
Compartment syndrome is a potentially limb- and life-threatening clinical entity resulting from elevated intra-compartmental pressures. A high clinical suspicion is paramount in diagnosis since full recovery is time-sensitive. We present a unique case of chronic myelomonocytic leukemia-induced (CMML) compartment syndrome which illustrates the importance of quick diagnosis...
(Vol 8 p 31-34, Accident and Emergency Medicine and Surgery (including Trauma); Orthopaedic Surgery; Vascular Surgery: 1 October 2008)
Haris A. Khwaja and David M. Nott
Varicose vein surgery is one of the commonest surgeries performed in the Western world. Utilisation of a plastic stripper and olive or a perforation/inversion metallic stripper has been used to remove the great saphenous vein in the thigh. We describe a non-traumatic technique for removal of the great saphenous vein that has minimal complications.
(Vol 8 p 1-3, Vascular surgery: 24 January 2008)
J. Shalhoub, M. Hamish, M. B. Sikkel and A. H. Davies
Since the first description by Bartholin in 1740, 386 cases of aneurysms of the facial vasculature have been reported in the world literature. Of these, less than 200 were of the superficial temporal artery (STA) [1]. Such STA lesions are commonly pseudoaneurysms presenting within weeks of direct trauma. We present a case of STA pseudoaneurysm following a closed head...
(Vol 6 p 15-17, Vascular Surgery, Trauma: 25 May 2006)
Muzzafer Chaudery and Frank Cross
Percutaneous transluminal angioplasty is a very common procedure and it is considered quite a safe and effective technique. We present a case of a patient who developed acute occlusion of the aorta and iliac vessels following bilateral aortoiliac angioplasty. There have been cases reported of acute iliac and femoral occlusion following bilateral aortoiliac angioplasty but...
(Vol 5 p 4-7, Vascular surgery: January 2005)
Alexandra J. Turner, Richard F. M. Wood and William Egner
In 1995 a 42-year old patient with common variable immunodeficiency associated with granulomatous disease had an elective repair of a granulomatous abdominal aortic aneurysm. Five years later he presented with a ruptured false aneurysm of the left common iliac artery. Granulomata may cause aneurysm formation and weakens surgical anastomoses.
(Vol 1 p 7-8, Vascular Surgery: February 2001)