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Journal of Bone and Joint Surgery, 1967;49:372-376.
© 1967 by The Journal of Bone and Joint Surgery, Inc

Slow Arterial Leak Consequent to Unrecognized Arterial Laceration

REPORT OF FIVE CASES

ERNST DEHNE M.D.1 and FRANK K. KRIZ JR. 2

1 Kennedy Veterans Administration Hospital, Memphis, Tennessee 38118
2 Chief, Orthopaedic Service, Fort Leonard Wood, Missouri

The final outcome in the cases reported here clearly emphasizes the importance of early diagnosis. In three of the five cases, amputation was required because the condition was not recognized in time. Pain and tumescence in a previously injured extremity and sometimes fever, mimicking sepsis, should alert the surgeon to the possibility of a slow arterial leak, even when the peripheral circulation is normal and there is no bruit or pathological pulsation. Arteriography should be performed whenever the diagnosis of slow arterial leak is considered.


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