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2024 ; 16
(7
): 2337-2342
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Sequential bowel necrosis and large gastric ulcer in a patient with a ruptured
femoral artery: A case report
#MMPMID39087118
Wang P
; Wang TG
; Yu AY
World J Gastrointest Surg
2024[Jul]; 16
(7
): 2337-2342
PMID39087118
show ga
BACKGROUND: Severe bleeding as a result of a major vascular injury is a
potentially fatal event commonly observed in the emergency department. Bowel
necrosis and gastric ulcers secondary to ischemia are rare due to their rich
blood supply. In this case, we present the case of a patient who was treated
successfully following rupture of his femoral artery resulting in bowel necrosis
and an unusually large gastric ulcer. CASE SUMMARY: A 28-year-old male patient
sustained a knife stab wound to the right thigh, causing rupture of his femoral
artery and leading to massive bleeding. He underwent cardiopulmonary
resuscitation and received a large blood transfusion. Abdominal surgeries
confirmed bowel necrosis, and jejunostomy was performed. The necrotic intestine
was removed, the remaining intestine was anastomosed, and the right thigh was
amputated. After three surgeries, the patient's overall condition gradually
improved, and the patient was discharged from the hospital. However, one day
after discharge, the patient was admitted again due to dizziness and melena, and
a gastroduodenoscopy revealed a giant banded ulcer. After 2 weeks of treatment,
the ulcer had decreased in size without bleeding. Six months after the last
surgery, enterostomy and reintroduction surgery were completed. The patient was
fitted with a right lower limb prosthesis one year after surgery. After 3 years
of follow-up, the patient did not complain of discomfort. CONCLUSION: Trauma
department physicians need to be aware of the possible serious complications
involving the abdomen of trauma patients with massive bleeding.