Multidisciplinary Management of Traumatic Profunda Femoris Artery Branch Hemorrhage With Coil Embolization: A Case Report

TL;DR

This case report details the treatment of a severe thigh injury in a 15-year-old boy, focusing on multidisciplinary care and the risk of compartment syndrome after trauma.

Contribution

The paper presents a novel case of traumatic profunda femoris artery hemorrhage managed with coil embolization and highlights multidisciplinary trauma care.

Findings

A 15-year-old boy with a rollover thigh injury was successfully treated with endovascular coil embolization.

The case emphasizes the importance of early detection and management of compartment syndrome after extremity trauma.

Multidisciplinary collaboration improved outcomes in managing complex vascular and soft-tissue injuries.

Abstract

Rollover extremity trauma can result in severe injuries like open or closed fractures, neurovascular and muscle damage or decollement (soft-tissue degloving). After severe blunt trauma, the risk of compartment syndrome (CS) must also be considered. Early clinical signs of CS are pain out of proportion and increased pain with passive stretching of muscles within the affected compartment. To avoid irreversible muscle or nerve damage, early detection of CS is necessary. However, measurement of compartment pressure for detection is discussed controversially. Its reliability depends on technical skills and patient conditions like blood pressure and comorbidities.

In this article, we report the case of a 15-year-old boy who sustained a rollover injury to the thigh. We describe the multidisciplinary management, including endovascular treatment, and discuss the risk of CS following extremity trauma as well as available diagnostic approaches.

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