Open AccessInternal iliac artery transposition for vascular reconstruction in a patient with life-threatening iatrogenic common iliac artery injury
Author(s) -
Biplab Mishra,
Mohit Joshi,
Babita Gupta,
Kamran Farooque
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2016-219138
Subject(s) - medicine , external iliac artery , internal iliac artery , surgery , common iliac artery , anastomosis , iatrogenic injury , artery , shock (circulatory) , pseudoaneurysm , iliac artery , radiology , aneurysm
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.