Mian Touseef-ud Din, Arshad Amin, Zaffar Iqbal, Ishaq Ahmed, Gul Shareef.
Pattern of Presentation of Peripheral Vascular Injuries.
Ophthalmol Update Jan ;13(3):228-30.

Objective: To find out common presentations of peripheral vascular injuries. Materials & Methods: This analytic study was conducted at the department of general surgery in collaboration with Cardiovascular Unit of Lady Reading Hospital Peshawar from 1st January, 2010 to 30 September, 2012.A total of 25 cases were included in the study and on the basis of clinical assessment they were explored and findings of vascular injury confirmed per operatively. The relevant data included was age, sex, altered pulsation, expanding hematoma, arterial bleeding, bruit and neurological deficit. This data was recorded in a predesigned proforma and subjected to SPSS program version10. Results: In total 25 patients, 20 [80%] patients were males and 5 [20%] were females. Mean age was 30.2 years. Altered distal pulses were recorded in 20 [80%] patients, expanding hematoma in 10 [40%], external bleeding in 8 [32%], bruit in 7 [28%] and neurological deficit in 6 [24%] patients. 6 patients presented within 6hours, 2 patients within 12 hours, 3 patients within 24 hours while 14 patients presented after 24 hours Conclusion: Altered distal pulsation, arterial bleeding, bruit, expanding hematoma and neurological deficit are common presentations of peripheral vascular injury. Once these finding are found in a trauma patient then he should undergo surgical exploration rather than wasting time in time-consuming investigation like angiography.

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