Abstract
Evaluation of the penetrating wound to the groin in a patient without obvious external hemorrhage or hematoma presents specific challenges. Commonly, patients have no complaints or only report pain at the injury site. These patients can generally be evaluated slowly and carefully; however, one should bear in mind that any sentinel or sudden bleeding event (either externally or manifested by new rapidly expanding hematoma) mandates a rapid transfer to the operating room.
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Busquéts AR, Acosta JA, Colón E, Alejandro KV, RodrÃguez P (2004) Helical computed tomographic angiography for the diagnosis of traumatic arterial injuries of the extremities. J Trauma 56(3):625–628
Dennis JW, Frykberg ER, Veldenz HC, Huffman S, Menawat SS (1998) Validation of nonoperative management of occult vascular injuries and accuracy of physical examination alone in penetrating extremity trauma: 5- to 10-year follow-up. J Trauma 44(2):243–252; discussion 242–243
Johansen K, Lynch K, Paun M, Copass M (1991) Noninvasive vascular tests reliably exclude occult arterial trauma in injured extremities. J Trauma 31(4):515–519; discussion 519–522
Nassoura ZE, Ivatury RR, Simon RJ, Jabbour N, Vinzons A, Stahl W (1996) A reassessment of Doppler pressure indices in the detection of arterial lesions in proximity penetrating injuries of extremities: a prospective study. Am J Emerg Med 14(2):151–156
Nitecki SS, Karram T, Hoffman A, Bass A (2007) Venous trauma in the Lebanon War – 2006. Interact Cardiovasc Thorac Surg 6(5):647–650, Epub 2007 Jul 25
Peng PD, Spain DA, Tataria M, Hellinger JC, Rubin GD, Brundage SI (2008) CT angiography effectively evaluates extremity vascular trauma. Am Surg 74(2):103–107
Quan RW, Gillespie DL, Stuart RP, Chang AS, Whittaker DR, Fox CJ (2008) The effect of vein repair on the risk of venous thromboembolic events: a review of more than 100 traumatic military venous injuries. J Vasc Surg 47(3):571–577
Schwartz MR, Weaver FA, Bauer M, Siegel A, Yellin AE (1993) Refining the indications for arteriography in penetrating extremity trauma: a prospective analysis. J Vasc Surg 17(1):116–122; discussion 122–124
Shayne PH, Sloan EP, Rydman R, Barrett JA (1994) A case-control study of risk factors that predict femoral arterial injury in penetrating thigh trauma. Ann Emerg Med 24(4):678–684
Soto JA, Múnera F, Morales C, Lopera JE, HolguÃn D, GuarÃn O, Castrillón G, Sanabria A, GarcÃa G (2001) Focal arterial injuries of the proximal extremities: helical CT arteriography as the initial method of diagnosis. Radiology 218(1):188–194
Taller J, Kamdar JP, Greene JA, Morgan RA, Blankenship CL, Dabrowski P, Sharpe RP (2008) Temporary vascular shunts as initial treatment of proximal extremity vascular injuries during combat operations: the new standard of care at Echelon II facilities? J Trauma 65(3):595–603
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King, D.R. (2017). Femoral Vessels. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49859-0_66
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DOI: https://doi.org/10.1007/978-3-662-49859-0_66
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