Transection of Common Iliac Arteries and Veins Bilaterally

Abstract

This is an unusual case report of a victim of a single gunshot wound with transection of all four common iliac vessels. The patient developed preoperative cardiac arrest for which he underwent a successful resuscitative thoracotomy. The iliac veins were managed by ligation and the iliac arteries were stented as part of damage control. The patient developed delayed acute anuria due to ureteric obstruction secondary to bilateral infected false iliac artery aneurysms. Reoperation with ligation of the arteries and extra-anatomic axillofemoral and femorofemoral bypass was successful. The patient survived with weakness of the lower extremities.