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Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Internal iliac artery transposition for vascular reconstruction in a patient with life-threatening iatrogenic common iliac artery injury
  1. Biplab Mishra1,
  2. Mohit Kumar Joshi2,
  3. Babita Gupta3,
  4. Kamran Farooque4
  1. 1Trauma Surgery (Surgical Disciplines), JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, Delhi, India
  2. 2Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, Delhi, India
  3. 3Department of Anesthesiology, All India Institute of Medical Sciences, New Delhi, Delhi, India
  4. 4Department of Orthopedics, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Mohit Kumar Joshi, drmohitjoshi{at}gmail.com

Summary

Major vascular injury during surgery is life threatening and can be a nightmare for any surgeon.

We share our experience of a 42-year-old woman where right common iliac artery and both common iliac veins were accidentally injured during lumbar discectomy leading to haemorrhagic shock. Patient was resuscitated and explored. A 4 cm segment of right common iliac artery was found lacerated along with perforations of both iliac veins. Proximal segment of internal iliac artery was mobilised quickly and vascular continuity was restored by end-to-end anastomosis of this segment to the proximal segment of common iliac artery after excising the damaged segment. Iliac veins were repaired primarily. Patient made an uneventful recovery. We share this technique as it was found expeditious and effective and may benefit surgeons working in this field.

  • trauma
  • vascular surgery
  • general surgery

https://doi.org/10.1136/bcr-2016-219138

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    Footnotes

    • Contributors MJ wrote the prototype of manuscript, searched the review of literature and revised the article. BM, BG and KF contributed by providing the content and editing the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.