Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2020; 8(13): 2862-2869
Published online Jul 6, 2020. doi: 10.12998/wjcc.v8.i13.2862
Missed diagnosis of femoral deep artery rupture after femoral shaft fracture: A case report
Jun Ge, Ke-Yu Kong, Xiao-Qiang Cheng, Peng Li, Xing-Xing Hu, Hui-Lin Yang, Min-Jie Shen
Jun Ge, Ke-Yu Kong, Xiao-Qiang Cheng, Peng Li, Xing-Xing Hu, Hui-Lin Yang, Min-Jie Shen, Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China
Author contributions: Ge J and Shen MJ were responsible for the clinical management of the patient; Ge J, Li P, and Hu XX participated in selecting the related data; Ge J, Kong KY, and Cheng XQ drafted and submitted the manuscript; Yang HL and Shen MJ were major contributors to organizing and revising the manuscript.
Informed consent statement: Informed consent has been obtained from the patient to publish the information, including their photographs.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Min-Jie Shen, MD, MD, Attending Doctor, Surgeon, Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, No. 188, Shizi St., Suzhou 215006, Jiangsu Province, China. shenminjie@suda.edu.cn
Received: January 17, 2020
Peer-review started: January 17, 2020
First decision: March 27, 2020
Revised: May 24, 2020
Accepted: June 20, 2020
Article in press: June 20, 2020
Published online: July 6, 2020
Core Tip

Core tip: We present a case of deep femoral artery injury in a patient with femoral fracture, which was very surprising considering the anatomical position of the deep artery, with the lower position of the femoral shaft fracture being compared to the hip fracture. In addition, for doctors, the possibility of diagnosing arterial rupture based on the non-specific symptoms of arterial rupture is much greater, which tends to cause a missed diagnosis. In addition, this case also introduces the treatment of life-threatening complications and feasible surgical techniques after arterial rupture.