Diagnosis and management of vascular injury in the groin area secondary to intravenous drug abuse
WANG Jin-song
QIAN Xue-ke
Abstract：Cases with groin pseudoaneurysms caused by drug abuse are increasing year by year. The diagnosis and management are special. Typical clinical manifestations include purulence,hemorrhage and a tender mass in groin area. Some cases present acutely with aneurysm bleeding and hypovolemic shock as late symptoms. Color Doppler ultrasound (CDU),computer tomography angiography (CTA), magnetic resonance angiography(MRA )are helpful to confirm the diagnosis. The management options include excision of pseudoaneurysms and debridement either without arterial reconstruction (femoral artery ligation only);or with selective arterial revascularization (femoral artery repair,femoral artery end to end anastomosis,or graft or prosthesis bypass). Successful radiological intervention therapy has been reported to treat femoral artery pseudoaneurysm by drug abuse. The option of arterial reconstruction is a challenge to the operator. In the long term,arterial reconstruction wouldn’t influence the overall surgical complication incidence.
Keywords：intraveanous drug abusepseudoaneurysmfemoral artery
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1149-1151 )