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Scholars Journal of Medical Case Reports | Volume-4 | Issue-12
Posterior Tibial Artery Inury Leading to Sudden Death- A Case Report
Vijay Kumar AG, Kumar U
Published: Dec. 30, 2016 | 147 511
DOI: 10.36347/sjmcr.2016.v04i12.024
Pages: 957-958
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Abstract
Traumatic laceration of the posterior tibial artery is a highly dangerous injury. Peripheral vascular injuries may result from severe penetrating or blunt trauma to the extremities. If not diagnosed properly and treated rapidly, it may lead to the loss of life and limb. On examination patient had cut wound measuring 18x4cmxbony deep over the right calf region, gastronemeus muscle is completely cut posterior tibial artery not palpable and dorsalis pedis artery palpable. Patient conscious and oriented, blood pressur-130/80mmhg, pulse 110/m. Tight pressure bandage was applied and was referred to higher centre because of non availability of vascular surgeon in ambulance. After one hour patient was brought back to hospital with history of sudden death on the way. Then body was subjected to postmortem. On dissection, cut section of all the organs was pale indicating severe blood loss due to injury to major vessels like posterior tibial artery & vein and fibular artery & vein leading to hemorrhagic shock.